快速康复外科护理在面肌痉挛围手术期中的应用
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摘要
目的探讨快速康复外科护理在面肌痉挛围手术期中的应用效果。方法选取2013年2月～2017年5月我院神经外科收治的84例面肌痉挛患者,随机分为实验组和对照组,每组各42例。对照组给予面肌痉挛围手术期常规护理,实验组在常规护理基础上给予快速康复外科护理。比较两组患者的护理满意度、并发症发生率、住院时间及住院费用。结果对照组干预前后满意度分别为66.66%、69.04%,差异无统计学意义(χ~2=0.069,P=0.995);实验组干预前后满意度分别为69.05%、97.61%,差异有统计学意义(χ~2=16.454,P=0.001)。干预后,实验组满意度明显高于对照组(P<0.05)。实验组术后并发症发生率为30.95%(13/42),明显低于对照组的66.67%(28/42)(χ~2=14.481,P<0.01)。实验组住院时间更短,住院费用更少,与对照组比较差异有统计学意义(t=-4.784、-4.356,P<0.01)。结论在面肌痉挛围手术期中应用快速康复外科护理,能有效提高患者满意度,减少术后并发症及住院时间,降低住院费用。
Objective To explore the application of rapid rehabilitation surgery nursing in the perioperative period of hemifacial spasm. Methods 4 patients with hemifacial spasm admitted to the department of neurosurgery of our hospital from February 2013 to May 2017 were enrolled and divided into the control group and the observation group randomly,42 cases in each group.The control group was given perioperative routine nursing of facial spasm,and the observation group was given rapid rehabilitation surgery nursing on the basis of routine nursing.The nursing satisfaction,complication occurrence rate,hospitalization time and hospitalization expenses were compared between the two groups. Results The nursing satisfaction of control group before and after intervention was 66.66%and 69.04%respectively,there was no statistically significant difference(χ~2=0.069,P=0.995);the nursing satisfaction of observation group before and after intervention was 69.05%and 97.61%respectively,the difference was statistically significant(χ~2=16.454,P=0.001).After intervention,the nursing satisfaction of observation group was significantly higher than that of control group(P<0.05).The postoperative complication rate in the observation group was 30.95%(13/42),which was significantly lower than that in the control group[66.67%(28/42)](χ~2=14.481,P<0.01).The experimental group had shorter hospital stay and less hospitalization expenses.The difference was statistically significant compared with the control group(t=-4.784,-4.356,P<0.01). Conclusion The application of rapid rehabilitation surgery nursing in the perioperative period of hemifacial spasm can effectively improve patient satisfaction,reduce the postoperative complications and hospitalization time,and reduce hospitalization expenses.
Objective To explore the application of rapid rehabilitation surgery nursing in the perioperative period of hemifacial spasm. Methods 4 patients with hemifacial spasm admitted to the department of neurosurgery of our hospital from February 2013 to May 2017 were enrolled and divided into the control group and the observation group randomly,42 cases in each group.The control group was given perioperative routine nursing of facial spasm,and the observation group was given rapid rehabilitation surgery nursing on the basis of routine nursing.The nursing satisfaction,complication occurrence rate,hospitalization time and hospitalization expenses were compared between the two groups. Results The nursing satisfaction of control group before and after intervention was 66.66%and 69.04%respectively,there was no statistically significant difference(χ~2=0.069,P=0.995);the nursing satisfaction of observation group before and after intervention was 69.05%and 97.61%respectively,the difference was statistically significant(χ~2=16.454,P=0.001).After intervention,the nursing satisfaction of observation group was significantly higher than that of control group(P<0.05).The postoperative complication rate in the observation group was 30.95%(13/42),which was significantly lower than that in the control group[66.67%(28/42)](χ~2=14.481,P<0.01).The experimental group had shorter hospital stay and less hospitalization expenses.The difference was statistically significant compared with the control group(t=-4.784,-4.356,P<0.01). Conclusion The application of rapid rehabilitation surgery nursing in the perioperative period of hemifacial spasm can effectively improve patient satisfaction,reduce the postoperative complications and hospitalization time,and reduce hospitalization expenses.
引文
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[2]靳玉萍,范小宁,程春梅,等.快速康复外科理念在颅内动脉瘤栓塞术围手术期护理中的应用[J].当代护士(下旬刊),2017,24(3):76-78.
[3]任善玲,徐艳,张磊,等.面肌痉挛患者的心理健康状态调查研究[J].武汉大学学报(医学版),2014,35(5):775-777,780.
[4]樊羽.面肌痉挛患者围手术期的护理[J].实用临床护理学电子杂志,2018,3(26):77-78.
[5]时峰,常青,倪红斌,等.微血管减压术治疗面肌痉挛围手术期护理[J].护士进修杂志,2014,29(18):1674-1676.
[6]陈政昱.浅析循证护理在A型肉毒素治疗面肌痉挛患者健康宣教中的应用[J].智慧健康,2018,4(14):15-16,21.
[7]吴丹华,周莉丽,杨卡达,等.50例面肌痉挛行微血管减压术后护理及并发症观察[J].浙江创伤外科,2015,20(1):193-194.
[8]李天月,袁媛,王薇.马斯洛需要层次论在面肌痉挛患者护理中的应用[J].滨州医学院学报,2014,37(1):44-47,78.
[9]Nygren J,Soop M,Thorell A,et al.Preoperative oral carbohydrates and postperative insulin resistance[J].Clin Nutr,1999,18(2):117-120.
[10]Nisim AA,AllinsAD.Enteral nut rition support[J].Nutrition,2005,21(1):109-112.
[11]朱艳,俞美定.慢性硬膜下血肿围术期中的舒适护理临床分析[J].国际护理学杂志,2013,32(10):2348-2350.