中国肿瘤临床与康复

目的研究脑肿瘤术后并发症风险因素,探讨护理干预在预防脑肿瘤患者术后并发症、提高护理满意度的临床效果。方法以2011年2月至2014年2月间收治的148例脑肿瘤术后患者为研究对象,对患者进行随机分组,研究组和对照组各74例。对照组实施常规性护理,研究组在常规护理基础上实施全面护理干预,对两组患者术后并发症发生情况及护理满意度情况进行比较分析。结果对照组发生术后并发症21例,其中继发性癫痫7例,肺部感染4例,泌尿感染3例,颅内感染2例,电解质紊乱2例,颅内血肿2例,脑水肿1例,护理满意率为77.0%。研究组发生术后并发症7例,其中继发性癫痫2例,肺部感染2例,泌尿感染1例,颅内血肿1例,脑水肿1例,护理满意率达到97.3%。研究组护理满意度明显高于对照组,术后并发症明显低于对照组,差异均有统计学意义(P<0.05)。结论脑肿瘤患者术后并发症风险较高,准确把握脑肿瘤术后护理特点,实施全面护理干预可有效降低术后并发症发生率,提高护理满意度,可进行临床推广。

Objective To study the risk factors of postoperative complications of brain tumors,explore nursing intervention in the prevention of postoperative complications in patients with brain tumors,improving clinical results nursing satisfaction. Methods From February 2011 to February 2014,148 cases of brain tumor patients after surgery were treated,patients were randomly assigned to a study group and the control group,74 cases in the control group to implement routine care,research implementation of a comprehensive set of interventions in routine nursing care on the basis of the occurrence of postoperative complications and nursing satisfaction conduct comparative analysis. Results The control group had 21 cases of postoperative complications,of which seven cases of secondary epilepsy,pulmonary infection in 4 cases,3cases of urinary tract infections,two cases of intracranial infection,electrolyte imbalance two cases,two cases of intracranial hematoma,brain edema in one case,nursing satisfaction rate of 77. 0%. Study group had seven cases of postoperative complications,including secondary epilepsy two cases,two cases of pulmonary infection,urinary tract infection in 1 case,1 case of intracranial hematoma,cerebral edema one case,nursing satisfaction rate of 97. 3%. Study group was significantly higher satisfaction with care,postoperative complications was significantly lower than the control group,the difference between the two groups were statistically significant( P < 0. 05). Conclusion The higher risk of complications in patients with brain tumor surgery,brain tumor surgery care to accurately grasp the characteristics of the implementation of comprehensive nursing intervention can effectively reduce the incidence of postoperative complications and improve nursing satisfaction,so it is worthy of clinical popularization application.