观察八步流程联合四轨交叉质量控制应用于胶质瘤手术患者的效果：一项随机试验。
Observation of the impact of the eight-step process combined with the four-track crossover quality control applied to patients with glioma surgery: a randomised trial.
作者信息
Zhang Zhen, Ma Jing, Xu Ying, Zhang Huihui
机构信息
Department of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
出版信息
Ann Transl Med. 2021 Apr;9(8):696. doi: 10.21037/atm-21-1228.
BACKGROUND
At present, surgery is the main treatment for patients with glioma, but there are certain risks in the operation. The traction and stress reaction of related brain tissue during surgery can cause complications such as cerebral edema, which adversely affects the prognosis of patients. The purpose of the present study was to explore the effect of an eight-step process combined with four-track quality control applied to patients undergoing glioma surgery.
METHODS
A total of 122 patients undergoing glioma surgery admitted to our hospital from March 2017 to March 2020 were selected and divided into two groups according to the random number table method, each with 61 cases. The control group underwent routine intervention after surgery and the observation group underwent an eight-step process combined with four-track cross-over quality control intervention after surgery. The postoperative rehabilitation effects, cancer-related fatigue, changes in quality of life, and the incidence of complications before and after intervention were compared between the two groups.
RESULTS
The time of catheter removal, the time of first eating, the time of getting out of bed, and the length of hospital stay of the observation group were shorter than those of the control group (P<0.05). In the observation group cognitive fatigue, physical fatigue, and emotional fatigue scores were lower than those of the control group after intervention (P<0.05) and the quality-of-life scores of the observation group after intervention were higher than those of the control group (P<0.05). The total incidence of complications in the observation group was lower than that of the control group (P<0.05).
CONCLUSIONS
The eight-step process combined with four-track quality control applied to patients undergoing glioma surgery can reduce cancer-related fatigue, improve quality of life, reduce complications, and promote speedy recovery.
背景
目前，手术是胶质瘤患者的主要治疗方法，但手术存在一定风险。手术过程中相关脑组织的牵拉及应激反应可导致脑水肿等并发症，对患者预后产生不利影响。本研究旨在探讨八步流程结合四轨质量控制应用于胶质瘤手术患者的效果。
方法
选取2017年3月至2020年3月我院收治的122例行胶质瘤手术的患者，采用随机数字表法分为两组，每组61例。对照组术后进行常规干预，观察组术后进行八步流程结合四轨交叉质量控制干预。比较两组患者术后康复效果、癌因性疲劳、生活质量变化及干预前后并发症发生率。
结果
观察组患者拔管时间、首次进食时间、下床时间及住院时间均短于对照组（P<0.05）。干预后，观察组认知疲劳、身体疲劳及情绪疲劳评分低于对照组（P<0.05），观察组干预后的生活质量评分高于对照组（P<0.05）。观察组并发症总发生率低于对照组（P<0.05）。
结论
八步流程结合四轨质量控制应用于胶质瘤手术患者可减轻癌因性疲劳，提高生活质量，减少并发症，促进快速康复。
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