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经鼻蝶窦入路切除垂体瘤患者应用“一病一品”方案对护理实践的影响。

The Effects of the Application of the "One Disease, One Product" Program to Nursing Practice for Patients After the Resection of Pituitary Adenomas Using the Endonasal Transsphenoi.

机构信息

Department of Neurology, Ningbo First Hospital, Ningbo, China.

Department of Nursing, Ningbo First Hospital, Ningbo, China.

出版信息

World Neurosurg. 2022 Sep;165:e628-e634. doi: 10.1016/j.wneu.2022.06.105. Epub 2022 Jun 27.

Abstract

OBJECTIVE

To explore the application and effect of the "one disease, one product" project to the nursing care of patients who have undergone pituitary tumour surgery using the nasal sphenoid approach.

METHODS

This is a prospective research study. In a standard treatment control study, 132 patients undergoing transnasal pituitary tumour surgery were divided into the control group (n = 71) and the observation group (n = 61). The control group was given routine pituitary tumor care, and the "one disease, one product" nursing model was used on the experimental group. The anxiety level of patients, the incidence of postoperative complications, postoperative hospitalization, and levels of satisfaction and capability of group members were measured between the control and experimental groups.

RESULTS

There was no difference in the level of anxiety between the 2 groups before admission (P = 0.634). The anxiety level of the patients in the observation group decreased after the "one disease, one product" nursing intervention (P = 0.012), but in the control group, it did not decrease significantly (P = 0.149), and the anxiety level in the control group was significantly higher than in the observation group on day 1 preoperatively (P < 0.001).

CONCLUSIONS

"One disease, one product" nursing can reduce the preoperative anxiety and postoperative satisfaction of pituitary adenoma surgery patients through the sphenoid sinus approach. It is worthy of popularization and application in pituitary adenoma resection through the sphenoid sinus approach.

摘要

目的

探讨“一病一品”项目在经鼻蝶入路垂体瘤手术患者护理中的应用及效果。

方法

本研究为前瞻性研究,采用标准治疗对照研究,将 132 例行经鼻蝶入路垂体瘤手术患者分为对照组(n=71)和观察组(n=61)。对照组给予常规垂体瘤护理,观察组采用“一病一品”护理模式。比较两组患者焦虑水平、术后并发症发生情况、术后住院时间及患者满意度、护理人员能力得分。

结果

两组患者入院时焦虑水平比较差异无统计学意义(P=0.634)。观察组患者在“一病一品”护理干预后焦虑水平降低(P=0.012),对照组患者焦虑水平下降不明显(P=0.149),且对照组患者术前 1d 时焦虑水平显著高于观察组(P<0.001)。

结论

经蝶入路垂体瘤手术患者应用“一病一品”护理可减轻患者术前焦虑、提高术后满意度,值得在经蝶入路垂体瘤切除术中推广应用。

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