围术期不同护理干预腮腺良性肿瘤患者护理效果研究

发布时间：2018-01-19 13:14

本文关键词： 腮腺良性肿瘤围术期心理护理　出处：《中国医药导报》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨围术期不同护理干预模式对腮腺良性肿瘤患者的临床应用效果。方法选取唐山市人民医院(以下简称"我院")2012年10月~2013年9月头颈外科收治的66例腮腺良性肿瘤患者,按照随机数字表法分为实验组33例和对照组33例,所有患者均接受手术治疗,实验组在围术期给予经我院改良后的护理干预,对照组在围术期给予传统护理干预。比较两组患者术后并发症发生率,干预前后抑郁自评量表(SDS)和焦虑自评量表(SAS)评分,平均住院时间、费用和护理满意程度。结果实验组患者发生并发症情况稍低于对照组,但差异无统计学意义(P0.05)。干预前,两组患者的SDS、SAS评分无明显差异(P0.05);干预后,两组患者的SDS、SAS评分均显著下降,实验组降低程度较对照组更显著(P0.05);实验组患者的平均住院时间显著短于对照组,平均住院费用显著少于对照组,护理满意度显著优于对照组,差异有统计学意义(P0.05)。结论经我院改良的护理干预可缓解围术期腮腺良性肿瘤患者负面情绪,减少住院平均时间和费用,提高患者对护理的满意程度。
[Abstract]:Objective to explore the clinical application of different nursing intervention models in parotid benign tumor patients during perioperative period. Methods Tangshan people's Hospital (hereinafter referred to as "our hospital") was selected. From October 2012 to September 2013, 66 patients with parotid benign tumors were treated in head and neck surgery. According to the random number table method, 33 cases were divided into experimental group (n = 33) and control group (n = 33). All the patients received surgical treatment, and the experimental group was given the improved nursing intervention in the perioperative period. The patients in the control group were given traditional nursing intervention during perioperative period. The incidence of postoperative complications before and after intervention the scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) before and after intervention were compared and the average hospitalization time was compared between the two groups. Results the incidence of complications in the experimental group was slightly lower than that in the control group, but the difference was not statistically significant (P 0.05). Before the intervention, the SDS of the two groups was lower than that of the control group. There was no significant difference in SAS score (P 0.05). After intervention, the scores of SAS in the two groups were significantly decreased, and the degree of decrease in the experimental group was more significant than that in the control group (P 0.05). The average hospitalization time of the patients in the experimental group was significantly shorter than that of the control group, and the average hospitalization cost was significantly less than that of the control group. Conclusion the improved nursing intervention in our hospital can relieve the negative emotion of parotid benign tumor patients during perioperative period and reduce the average hospitalization time and cost. Improve patients' satisfaction with nursing care.
【作者单位】：河北省唐山市人民医院功能检查科;河北省唐山市人民医院头颈外科;
【基金】：河北省医学科学研究重点课题计划(20120186)
【分类号】：R473.73
【正文快照】： 腮腺是人体重要的唾液分泌器官,其内有面神经穿行。腮腺肿瘤以良性为多见,手术是其目前唯一有效的治疗方法。常见术后并发症有面瘫、腮腺瘘、耳垂麻木、面部凹陷畸形和Frey综合征[1],优质的围术期护理能提高手术疗效,使患者获益最大化[2-4]。现对唐山市人民医院(以下简称“我

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