摘要
目的探究预见性护理模式在颅骨缺损伴脑积水患者同期手术中的应用效果。方法此次研究采取随机盲选法,将2018年4月至2019年4月期间进入我院接受手术治疗的82例颅骨缺损伴脑积水患者划分为两组,各组平均41例患者;其中,对照组实行常规护理,观察组实行预见性护理,对比两组患者的术后并发症发生率、临床指标及生活质量评分。结果①本次研究中,护理后,对照组的术后并发症发生率为24.39%,与观察组的4.88%相比二者差异明显,具有统计学研究意义(P<0.05)。②本次研究中,护理后,对照组的住院时间为住院时间(17.89±3.94)d、住院费用为(11542.18±423.54)元、护理满意评分为(83.27±1.78)分,与观察组的(13.26±3.32)d、(8279.32±408.21)元、(96.15±1.54)分相比各项指标差异明显,参与比较的数据具有统计学研究意义(P<0.05)。③本次研究中,护理后,对照组的抑郁体验为(6.67±1.34)分、躯体情感为(6.42±1.72)分、生活环境为(6.38±1.47)分及家庭生活为(6.79±1.52)分,与观察组的(4.74±1.08)分、(4.63±1.28)分、(4.09±1.34)分及(4.81±1.22)分相比各项指标差异明显,参与比较的数据具有统计学研究意义(P<0.05)。结论颅骨缺损伴脑积水同期手术患者实行预见性护理的效果显著,不仅能够减少术后并发症发生率,缩短住院时间,更能够减轻患者的经济负担,提高其护理满意度,真正意义上做到改善患者的生活质量;所以,值得在临床护理领域中使用及推广。
Objective To explore the application effect of predictive nursing mode in concurrent operation of cranial defect with hydrocephalus.Methods In this study,82 patients with skull defect and hydrocephalus who were admitted to our hospital from April 2018 to April 2019 were divided into two groups,with an average of 41 cases in each group.Among them,the control group received routine nursing,the observation group received predictive nursing,and the incidence of postoperative complications,clinical indicators and quality of life scores of the two groups were compared.Results(1)In this study,after nursing,the incidence of postoperative complications in the control group was 24.39%,which was significantly different from that in the observation group(4.88%).The data of the two groups had statistical significance(P<0.05).(2)In this study,after nursing,in the control group,the hospital stay was(17.89±3.94)d,the hospital cost was(11542.18±423.54)yuan,the nursing satisfaction score was(83.27±1.78)points,compared with the observation group of(13.26±3.32)d,(8279.32±408.21)yuan,(96.15±1.54)points,the indicators were significantly different,the data involved in the comparison are statistically significant(P<0.05).(3)In this study,after nursing,in the control group,depression experience score was(6.67±1.34)points,somatic emotion score was(6.42±1.72)points,living environment score was(6.38±1.47)points and family life score was(6.79±1.52)points,compared with the observation group(4.74±1.08)points,(4.63±1.28)points,(4.09±1.34)points and(4.81±1.22)points,there were significant differences in all indicators,and the indicators were significantly different,the data involved in the comparison are statistically significant(P<0.05).Conclusion Skull defect with hydrocephalus concurrent operation patients with predictive nursing effect is significant,not only can reduce the incidence of postoperative complications,shorten the length of hospital stay,but also can reduce the economic burden of patients,improve their nursing satisfaction,in a real sense to improve the quality of life of patients;Therefore,it is worth to be used and promoted in the field of clinical nursing.
作者
刘芮沂
刁秀梅
LIU Ruiyi;DIAO Xiumei(Department of Neurosurgery,Dalian Central Hospital,Dalian 116033,China)
出处
《中国医药指南》
2022年第18期126-129,共4页
Guide of China Medicine
关键词
预见性护理模式
颅骨缺损伴脑积水
效果
同期手术
Predictive nursing mode
Skull defect with hydrocephalus
Effect
Concurrent operation
