舒适护理在显微手术治疗额叶胶质瘤手术室护理中应用效果.docVIP

舒适护理在显微手术治疗额叶胶质瘤手术室护理中应用效果 　　[摘要] 目的 探讨舒适护理在显微手术治疗额叶胶质瘤手术室护理中的应用效果。 方法 选取哈尔滨医科大学附属第一医院2013年8月～2015年8月收治的90例接受显微手术治疗的额叶胶质瘤患者，采取随机数字表法分为对照组与观察组，每组各45例。对照组仅给予常规护理，观察组在其基础上给予舒适护理，对比两组患者不同时间点心率、血压、白介素-6（IL-6）、皮质醇含量，手术前后焦虑抑郁情绪及术后护理满意度。 结果 两组T2的收缩压、IL-6及皮质醇含量，T3、T4的IL-6及皮质醇含量比较，差异有统计学意义（P 0.05）。对照组T2较T1的心率加快，收缩压升高，IL-6、皮质醇含量升高，差异有统计学意义（P 0.05）；对照组T3、T4较T1的IL-6及皮质醇含量升高，差异有统计学意义（P 0.05）。观察组T2较T1的收缩压升高，IL-6及皮质醇含量升高，差异有统计学意义（P 0.05）；观察组T3、T4较T1的IL-6及皮质醇含量升高，差异有统计学意义（P 0.05）。两组患者术后焦虑及抑郁评分较术前明显降低，观察组较对照组降低更加显著（P 0.05）。对照组的护理满意度为68.89%，观察组的护理满意度为93.33%，观察组的护理满意度明显高于对照组，差异有统计学意义（P 0.05）。 结论 舒适护理应用于显微手术治疗额叶胶质瘤手术室护理中的效果显著，可平稳生理指标，减少术后焦虑抑郁情绪，提高护理满意度。 　　[关键词] 舒适护理；显微手术；额叶胶质瘤；手术室护理 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210（2016）03（a）-0169-04 　　Application effect of comfortable nursing in operating room nursing for microsurgical treatment of frontal gliomas 　　CHEN Ye LIU Yaohua 　　Operating Room， the First Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150001， China 　　[Abstract] Objective To explore application effect of comfortable nursing in operating room nursing for microsurgical treatment of frontal gliomas. Methods 90 cases with frontal gliomas treated with microsurgery in the First Affiliated Hospital of Harbin Medical University from August 2013 to August 2015 were selected and divided into control group and observation group by taking a random number table method， each group of 45 cases. Routine nursing was used in control group， comfortable nursing was applied in observation group based on control group. Heart rate， blood pressure， IL-6， cortisol levels in different time points， anxiety and depression before and after operation， nursing satisfaction rate after operation between two groups were compared. Results Systolic pressure， IL-6， cortisol levels at T2， IL-6， cortisol level at T3 and T4 between two groups were compared， with significant differences （P 　　[Key words] Comfortable nursing； Microsurgery； Frontal gliomas； Opera