中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
26期
3198-3201
,共4页
张亚辉%孔侠%姜俊芝%邹杰
張亞輝%孔俠%薑俊芝%鄒傑
장아휘%공협%강준지%추걸
颅底肿瘤%优质护理%护理质量
顱底腫瘤%優質護理%護理質量
로저종류%우질호리%호리질량
Skull base tumors%High quality nursing%Quality of nursing
目的 探讨优质护理服务在颅底肿瘤手术中的应用效果.方法 将2010年5月至2012年12月接受颅底肿瘤手术治疗的72例患者按照随机数字表随机分为对照组和研究组各36例.对照组采用传统护理模式进行护理,研究组采用优质护理,通过术前访视和护理评估、术中配合和术后的随访,对患者实行全程的整体护理.比较两组的护理效果.结果 对照组皮肤压疮、暴露性角膜炎、神经损伤、感染和脑脊液漏的发生率为16.7％,19.4％,16.7％,22.2％,16.7％,研究组分别为0.0％,0.0％,0.0％,2.8％,0.0％,两组比较差异有统计学意义(P＜0.05).对照组痊愈率为52.8％,死亡率为16.7％,研究组分别为88.9％,0.0％,两组比较差异有统计学意义(P＜0.05).对照组平均住院日为(15.17 ±0.35)d,平均医疗费用为(12 250.05±73.42)元,研究组分别为(11.22±0.42)d,(8 141.67±30.35)元,两组比较差异有统计学意义(t值分别为25.901,53.176;P＜0.01).结论 优质护理服务在颅底肿瘤患者手术中的应用,减少了并发症发生,促进了患者康复.
目的 探討優質護理服務在顱底腫瘤手術中的應用效果.方法 將2010年5月至2012年12月接受顱底腫瘤手術治療的72例患者按照隨機數字錶隨機分為對照組和研究組各36例.對照組採用傳統護理模式進行護理,研究組採用優質護理,通過術前訪視和護理評估、術中配閤和術後的隨訪,對患者實行全程的整體護理.比較兩組的護理效果.結果 對照組皮膚壓瘡、暴露性角膜炎、神經損傷、感染和腦脊液漏的髮生率為16.7％,19.4％,16.7％,22.2％,16.7％,研究組分彆為0.0％,0.0％,0.0％,2.8％,0.0％,兩組比較差異有統計學意義(P＜0.05).對照組痊愈率為52.8％,死亡率為16.7％,研究組分彆為88.9％,0.0％,兩組比較差異有統計學意義(P＜0.05).對照組平均住院日為(15.17 ±0.35)d,平均醫療費用為(12 250.05±73.42)元,研究組分彆為(11.22±0.42)d,(8 141.67±30.35)元,兩組比較差異有統計學意義(t值分彆為25.901,53.176;P＜0.01).結論 優質護理服務在顱底腫瘤患者手術中的應用,減少瞭併髮癥髮生,促進瞭患者康複.
목적 탐토우질호리복무재로저종류수술중적응용효과.방법 장2010년5월지2012년12월접수로저종류수술치료적72례환자안조수궤수자표수궤분위대조조화연구조각36례.대조조채용전통호리모식진행호리,연구조채용우질호리,통과술전방시화호리평고、술중배합화술후적수방,대환자실행전정적정체호리.비교량조적호리효과.결과 대조조피부압창、폭로성각막염、신경손상、감염화뇌척액루적발생솔위16.7％,19.4％,16.7％,22.2％,16.7％,연구조분별위0.0％,0.0％,0.0％,2.8％,0.0％,량조비교차이유통계학의의(P＜0.05).대조조전유솔위52.8％,사망솔위16.7％,연구조분별위88.9％,0.0％,량조비교차이유통계학의의(P＜0.05).대조조평균주원일위(15.17 ±0.35)d,평균의료비용위(12 250.05±73.42)원,연구조분별위(11.22±0.42)d,(8 141.67±30.35)원,량조비교차이유통계학의의(t치분별위25.901,53.176;P＜0.01).결론 우질호리복무재로저종류환자수술중적응용,감소료병발증발생,촉진료환자강복.
Objective To explore the effect of high quality nursing on the operation of patients with skull base tumors.Methods Seventy-two patients who received the treatment for the operation of skull base tumor from May 2010 to December 2012 were randomly divided into the study group and the control group,each with 36 cases.The control group received the traditional nursing,and the study group received high quality nursing.The patients got responsibility and holistic nursing in whole course through visit and nursing evaluation before operation,cooperation during operation and follow-up after operation.The effects were compared between two groups.Results The incidence rate of skin pressure ulcer,exposure keratitis,nerve injury,infection and cerebrospinal fluid leak were respectively 16.7％,19.4％,16.7％,22.2％,16.7％ in the control group,and 0.0％,0.0％,0.0％,2.8％,0.0％ respectively in the study group respectively,and the differences were statistically significant (P ＜ 0.05).The cure and mortality rates were respectively 52.8％,16.7％ in the control group,and 88.9％,0.0％ in the study group,and the differences were statistically significant (P ＜0.05).The average hospitalization days were (15.17 ±0.35) d in the control group,and (11.22 ±0.42)d in the study group; the average medical expenses were (12250.05 ± 73.42) yuan in the control group,and (8141.67 ±30.35) yuan in the study group,and the differences were statistically significant (t =25.901,53.176,respectively;P ＜ 0.01).Conclusions Application of high quality nursing in the operation of patients with skull base tumors can reduce the complication,and improve the rehabilitation of patients.
