摘要
目的 探讨主体双元一体化护理在神经胶质瘤手术患者中的应用及对神经功能、自护能力的影响。方法 遴选在我院接受治疗的神经胶质瘤患者90例,按随机数字表法分为对照组(n=45,采用传统护理)和观察组(n=45,采用主体双元一体化护理),比较两组患者神经功能[用美国国立卫生院卒中量表(NIHSS)、简式Fugl-Meyer运动功能(FMA)量表和日常生活活动能力Barthel指数(BI)表评定]、自护能力[用自我护理能力测量量表(ESCA)评定]、护患调查情况以及患者和家属对护理工作满意度情况。结果 护理后,观察组NHISS、FMA和BI评分分别为(4.31±1.07)、(50.73±3.75)和(66.76±6.54),对照组NIHSS、FMA及BI评分分别为(5.41±3.23)、(42.51±4.42)及(59.87±7.33),差异有统计学意义(P<0.05);干预后,观察组自护责任感、自我护理技能、健康知识认知和自我概念得分均显著高于对照组,差异有统计学意义(P<0.05);两组SCL-90各维度(强迫症状、焦虑、恐怖、偏执、敌对)评分均显著降低(P<0.05),且观察组降低程度大于对照组(P<0.05);观察组对护理工作满意度100%显著大于对照组71.1%(P<0.05)。结论 主体双元一体化护理能有效改善神经胶质瘤患者神经功能,提高预后生活能力。
Objective To investigate the application of subject dual-integrated nursing in patients with glioma surgery and its influence on neurological function and self-care ability.Methods 90 patients with gliomas treated in our hospital were selected and divided into control group(n=45,traditional nursing)and observation group(n=45,subject dual-integrated nursing)according to the random number table method.The neurological function of two groups of patients(NIHSS,FMA and BI table assessment)was compared;self-care ability(ESCA assessment),nurse-patient survey situation,and patient and family satisfaction with nursing work were compared.Results After treatment,the NHISS,FMA and BI scores of the observation group were(4.31±1.07),(50.73±3.75)and(66.76±6.54),respectively.The NIHSS,FMA and BI scores of the control group were(5.41±3.23),(42.51).±4.42)and(59.87±7.33),the difference was significant(P<0.05);After the intervention,the self-care responsibility,self-care skills,health knowledge cognition and self-concept scores of the observation group were significantly higher than the control group,and there was a significant difference(P<0.05).The scores of SCL-90(forced symptoms,anxiety,horror,paranoia,hostility)were significantly lower in the two groups(P<0.05),and the decrease in the observation group was greater than that in the control group(P<0.05).The satisfaction of nursing work in the observation group(100%)was significantly greater than that in the control group(71.1%)(P<0.05).Conclusion The dual-integrated nursing can effectively improve the neurological function of glioma patients and improve their prognosis.
作者
王增霞
苑敏
郭芳
Wang Zengxia;Yuan Min;Guo Fang(Neurological Surgery Ward Two,Xinxiang Central Hospital,Xinxiang 453000,China)
出处
《哈尔滨医药》
2019年第4期392-394,共3页
Harbin Medical Journal
关键词
主体双元一体化护理
神经胶质瘤
神经功能
自护能力
Subject dual-integrated nursing
Glioma
Neurological function
Self-protection ability
