摘要
目的探讨基于加速康复外科(ERAS)的精细化护理干预在脑膜瘤术后患者中的应用。方法采用便利抽样法,选择2020年6月—2021年2月在河南省肿瘤医院神经外科住院的124例脑膜瘤手术患者为研究对象,利用随机数字表法将患者分为观察组与对照组,各62例。对照组给予神经外科围手术期常规护理,观察组在对照组基础上给予基于ERAS的精细化护理干预。比较两组脑膜瘤患者术后早期下床情况,包括首次下床时间、首次下床活动时间及首次下床活动距离;采用SAS、SDS、ADL量表比较两组脑膜瘤术后患者护理前后焦虑、抑郁情况及ADL;比较两组脑膜瘤患者术后7 d内并发症发生情况。结果观察组患者首次下床时间、首次下床活动时间、首次下床活动距离均优于对照组,差异具有统计学意义(P<0.01);观察组患者护理后ADL量表评分高于对照组,SAS、SDS评分低于对照组,差异均具有统计学意义(P<0.01);观察组患者术后7 d内并发症发生率为9.7%(6/62),低于对照组的27.4%(17/62),差异具有统计学意义(P<0.05)。结论基于ERAS的精细化护理干预可改善脑膜瘤患者术后早期下床情况,有助于缓解患者焦虑和抑郁情绪,并提高患者的ADL,降低术后并发症发生率,值得临床应用。
Objective To explore the application of meticulous nursing based on enhanced recovery after surgery(ERAS)in patients after meningioma surgery.Methods From June 2020 to February 2021,convenience sampling was used to select 124 meningioma patients with surgery in the Neurosurgery Department of Henan Cancer Hospital as the research object.The patients were divided into the observation group and the control group,with 62 cases in each group.The control group was given routine nursing during the perioperative period of neurosurgery,and the observation group conducted meticulous nursing based on ERAS on the basis of the control group.This study compared the early postoperative ambulation between the two groups of meningioma patients,including the time to get out of bed for the first time,the time of first ambulation,and the distance to first ambulation.The Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and the Barthel Index for activities of daily living(ADL)were used to compare the anxiety,depression and ADL of the two groups of meningioma patients before and after nursing care.The incidence of complications within 7 days after the surgery of the two groups of meningioma patients was compared.Results The time to get out of bed for the first time,time of first ambulation,and the distance to first ambulation in the observation group were better than those in the control group,and the differences were statistically significant(P<0.01).The ADL scores of patients of the observation group after nursing were higher than those of the control group,and the scores of SAS and SDS were lower than those of the control group,and the differences were statistically significant(P<0.01).The incidence of complications in the observation group within 7 days after surgery was 9.7%(6/62),which was lower than 27.4%(17/62)in the control group,and the difference was statistically significant(P<0.05).Conclusions ERAS-based meticulous nursing can improve early postoperative ambulation in patients with meningioma,help relieve pa
作者
张静
郭东波
夏晓晨
徐心平
Zhang Jing;Guo Dongbo;Xia Xiaochen;Xu Xinping(Neurosurgery Department,Henan Cancer Hospital,Cancer Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中华现代护理杂志》
2021年第29期4015-4019,共5页
Chinese Journal of Modern Nursing
关键词
脑膜瘤
快速康复外科
精细化护理
Meningioma
Enhanced recovery after surgery
Meticulous nursing
