护理干预在颅脑手术患者中的应用价值

摘要

Objective:Explore nursing interventions in the perioperative period of brain surgery patients value.Methods:70 cases of brain surgery patients admitted to our hospital from December 2010 to July 2012,were randomly divided into experimental group of 35 cases and the control group of 35 cases,of the control group for the routine care of neurosurgery in the experimental group in neurosurgery nursing intervention on the basis of routine care.Compare the two sets of the patient’s cognitive function,physiological indices and psychological state.Results:Heart rate and blood pressure in the experimental group before surgery than the control group stability(P<0.05);detection of the experimental group after surgery,mini-mental state (MMSE) and glasgow coma scale (GCS) score were significantly greater than the control group(P<0.05);experimental group hamilton anxiety and depression scale(HAMA and HAMD) score are significantly less than the control group (P<0.05).Conclusion:Brain surgery patients,perioperative nursing intervention can significantly improve the patient’s cognitive function,ease the patient’s anxiety state,be worth to clinical application.%　　目的：探究护理干预在颅脑手术患者围手术期中的应用价值.方法：将笔者所在医院2010年12月-2012年7月收治的进行颅脑手术的患者70例，分为试验组35例，对照组35例，对照组进行神经外科的常规护理，试验组在神经外科常规护理的基础上进行护理干预.观察比较两组患者的认知功能、生理指标及心理状态.结果：试验组手术之前的心率和血压都比对照组稳定，差异有统计学意义(P<0.05)；试验组手术后简易智力状态检测(MMSE)和Glasgow昏迷量表(GCS)评分都显著大于对照组，差异有统计学意义(P<0.05)；试验组汉密尔顿焦虑及抑郁量表(HAMA、HAMD)评分都显著小于对照组，差异有统计学意义(P<0.05).结论：对颅脑手术的患者进行围手术期护理干预可以明显提高患者的认知功能，缓解患者的焦虑状态，值得在临床上推广应用.