作　　者： (卢珊）; (于红）; (张君）; (邓鑫艳）; (李则英）;

机构地区： 桂林医学院第二附属医院,广西桂林541199

出　　处： 《哈尔滨医药》 2017年第4期386-387,共2页

摘　　要： 目的研究脑部肿瘤患者术后常见的并发症,并提出相应的护理对策,以期为临床提供一定的参考。方法选取2013年6月至2015年6月间入院诊治的148例脑部肿瘤手术患者。将其按照就诊顺序与数字随机表法分为观察组(74例)与对照组(74例)。对照组应用常规护理办法,观察组在其基础上实施全面护理干预。观察两组患者术后并发症的情况,并评价两组患者对护理工作的满意度及生活质量情况。结果脑肿瘤术后常见的并发症分别为继发性癫痫、肺部感染与泌尿系统感染,观察组并发症6例(8.11%),对照组并发症19例(25.67%),两组差异显著(P<0.05)。本研究中观察组患者对护理工作非常满意45例、满意25例,总满意率为94.59%;对照组非常满意32例、满意26例,总满意率为78.38%;两组差异显著(P<0.05)。经护理后,观察组在躯体功能、角色功能、认知功能、情绪功能、社会功能等生活质量评价的各方面均显著优于对照组(P<0.05)。结论脑部肿瘤术后并发症风险较高,结合脑部肿瘤手术特征施以全面化的干预办法,可有效降低脑部肿瘤术后并发症的发生率,同时提高患者对护理的满意度与生活质量。 Objective To study a common complication after brain tumor patients and the corresponding nursing strategies,in order to provide a reference for clinical.Methods June 2013-June 2015 among 136 cases of brain tumor diagnosis and treatment of surgical patients admitted to hospital.Which according to the treatment sequence and digital randomly assigned into observation group （68 cases） and control group （68 cases）.The control group received conventional care options,the observation group to im- plement a comprehensive nursing intervention on its basis.Postoperative Complications were observed in patients with the situation, and to evaluate the two groups of patients to nursing job satisfaction and quality of life situation.Results A common complication after brain tumor were secondary epilepsy,pulmonary infection and urinary tract infection,complicati0n observed in 6 patients （10.81%） ,complications in 19 cases in the control group （25.67%）, the difference It was significantly （P〈0.05）.The study issued questionnaires fully recovered,the recovery 100.00%.The observation group were very satisfied with the work of nursing 45 cases, 25 cases of satisfaction, overall satisfaction rate of 94.59% ; very satisfied with 32 cases in the control group, 26 cases of satisfaction, overall satisfaction rate of 78.38% ;the difference was significant （P〈0.05）.After treatment,the observation group in the physical functioning, role functioning, cognitive aspects, emotional function, social function, such as quality of life assessment were signifi- cantly better than the control group（P〈0.05）.Conclusion A higher risk of postoperative complications of brain tumors, brain tumor surgery combined with features of the intervention to impose a comprehensive approach,which can effectively reduce the incidence of brain tumors postoperative complications ,while improving patient satisfaction with care quality of Life.

关 键 词： 脑肿瘤 手术 并发症 护理