摘要
目的探讨综合护理干预对经鼻内镜垂体瘤术后早期头痛改善的效果。方法选取本院2016年1月至2019年4月收治的72例行经鼻内镜垂体瘤手术患者为研究对象,按数字表法随机分为观察组和对照组,各36例。对照组给予脑神经外科常规护理,观察组在对照组常规护理基础上给予综合护理干预,观察两组患者术后6 h、1 d、2 d及3 d的头疼评分情况和护理满意度情况。结果术后6 h和1 d观察组患者疼痛得分分别为(5.76±1.73)分、(6.69±1.82)分,对照组分别为(5.91±1.65)分、(6.59±1.47)分,两组患者疼痛评分比较,差异均无统计学意义(均P>0.05),术后2 d和3 d观察组疼痛评分分别为(5.58±1.52)分、(2.25±1.18)分,明显低于对照组的(6.42±1.35)分、(4.11±1.93)分,两组比较,差异均有统计学意义(均P<0.05);观察组护理满意度为97.22%,明显优于对照组的83.33%,两组比较,差异有统计学意义(P<0.05)。结论应用综合护理干预能够改善经鼻内镜垂体瘤术后早期头痛症状,效果明显,具有临床推广应用价值。
Objective To explore the effect of comprehensive nursing intervention on early headache improvement after nasal endoscopic surgery for pituitary tumor.Methods Seventy-two patients undergoing nasal endoscopic surgery for pituitary tumor were selected from our hospital between January,2016 and April,2019,and were randomly divided into an observation group and a control group by the digital table method,with 36 cases in each group.The control group was given routine care of neurosurgery.The observation group was given comprehensive nursing intervention based on the routine care.The headache scores and nursing satisfactions of the two groups were observed 6 hours,1 day,2 days,and 3 days after surgery.Results The pain scores 6 hours and 1 day after operation were(5.76±1.73)and(6.69±1.82)in the observation group,and were(5.91±1.65)and(6.59±1.47)in the control group,with no statistical differences(both P>0.05).The pain scores 2 and 3 days after operation were significantly lower in the observation group than in the control group[(5.58±1.52)vs.(6.42±1.35)and(2.25±1.18)vs.(4.11±1.93);both P<0.05].The nursing satisfaction was significantly higher in the observation group than in the control group(97.22%vs.83.33%;P<0.05).Conclusion The application of comprehensive nursing intervention can improve the early headache after nasal endoscopic surgery for pituitary tumor and is effective,so it has clinical application value.
作者
张梦琳
Zhang Menglin(General Hospital of Pingmei Shenma Medical Group,Pingdingshan 467000,China)
出处
《国际医药卫生导报》
2020年第8期1129-1131,共3页
International Medicine and Health Guidance News
关键词
综合护理干预
经鼻内镜垂体瘤术
术后早期头痛
效果
Comprehensive nursing intervention
Endoscopic pituitary adenoma
Early postoperative headache
effect