General Ward of Neurology Disease, West China Hospital of Sichuan University, Chengdu, China.
Contrast Media Mol Imaging. 2022 Jun 27;2022:7658710. doi: 10.1155/2022/7658710. eCollection 2022.
In this research paper, we will explore the role of establishing a neurosurgical specialist nurse working group in the recovery and prevention of negative psychological emotions after meningioma surgery. For this study, 42 meningioma patients who were treated before the establishment of a neurosurgery specialist nurse working group from January 2019 to December 2019. They were selected as the control group. In contrast, 42 meningioma patients admitted after the establishment of the neurosurgery specialist nurse group from January 2020 to December 2020 were selected as the study group. The postoperative recovery (time of stay in the intensive care unit, time of first eating, wakeup time, time of defecation for the first time, and hospitalization time), short-term prognosis, and nursing satisfaction scores of the two groups were calculated, and the post-traumatic stress disorder scale (PTSD-SS), medical coping style questionnaire (MCMQ), and National Institutes of Health Stroke Scale (NIHSS) were compared. Also, the changes in the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) score contributes to the comprehensive analysis of the role of the establishment of neurosurgical specialist nurse working group in the recovery and prevention of negative psychological emotion after meningioma operation. The satisfaction scores in the study group of patients in physical care, receiving information, support, respect, and nursing process were higher than the control group probability ( < 0.05). The first feeding time, defecation time, out of bed, the stay time in the intensive care unit, and the hospitalization time of the study group were shorter than those of the control group ( < 0.05). Before nursing, there was no difference in NIHSS score, SAS score, and SDS scores between the two groups. However, after nursing, the NIHSS score, SAS score, and SDS score of the study group were fairly lower than the control group. Moreover, the Karnofsky functional status scale (KPS) scores of the two groups increased gradually. The KPS scores of the study group at 1 month, 2 months, and 3 months after operation were significantly higher than those of the control group ( < 0.05). Before nursing, there was no significant difference in the scores of post-traumatic stress disorder between the two groups ( > 0.05). After nursing, the scores of subjective evaluation, symptom avoidance, repeated experience, and social dysfunction in the study group were lower than those in the control group ( < 0.05). Before nursing, there was no significant difference in coping scores between the control group and the research group ( > 0.05), but after nursing, the avoidance and compliance scores of the research group were significantly higher than those of the control group ( < 0.05).Similarly, the scores of avoidance and yield in the study group were significantly lower than those in the control group ( < 0.05). In the study group, 1 patient had an incision infection and 1 patient had epilepsy, and the total incidence of postoperative complications was 4.76%. In the control group, 4 patients had incision infection, 1 case of an intracranial hematoma, 3 cases of deep venous thrombosis, and 3 cases of epilepsy. The total incidence of postoperative complications in the study group was 26.19%, while the incidence of postoperative complications in the study group was lower than in the control group ( < 0.05).
在这项研究论文中，我们将探讨建立神经外科专科护士工作组在脑膜瘤手术后恢复和预防负面心理情绪中的作用。为此，我们选择了 42 名在 2019 年 1 月至 2019 年 12 月神经外科专科护士工作组成立前接受治疗的脑膜瘤患者作为对照组。相比之下，我们选择了 42 名在 2020 年 1 月至 2020 年 12 月神经外科专科护士工作组成立后入院的脑膜瘤患者作为研究组。我们计算了两组患者的术后恢复（入住重症监护室的时间、首次进食时间、苏醒时间、首次排便时间和住院时间）、短期预后和护理满意度评分，并比较了创伤后应激障碍量表（PTSD-SS）、医学应对方式问卷（MCMQ）和美国国立卫生研究院卒中量表（NIHSS）。此外，我们还比较了两组患者的焦虑自评量表（SAS）和抑郁自评量表（SDS）评分的变化，以综合分析建立神经外科专科护士工作组在脑膜瘤手术后恢复和预防负面心理情绪中的作用。研究组患者在身体护理、获得信息、支持、尊重和护理过程方面的满意度评分均高于对照组（<0.05）。研究组患者的首次进食时间、排便时间、下床时间、入住重症监护室的时间和住院时间均短于对照组（<0.05）。护理前，两组 NIHSS 评分、SAS 评分和 SDS 评分无差异。然而，护理后，研究组的 NIHSS 评分、SAS 评分和 SDS 评分均明显低于对照组。此外，两组的卡氏功能状态量表（KPS）评分均逐渐升高。研究组术后 1 个月、2 个月和 3 个月的 KPS 评分明显高于对照组（<0.05）。护理前，两组 PTSD 主观评分无显著差异（>0.05）。护理后，研究组的主观评价、症状回避、重复体验和社会功能障碍评分均低于对照组（<0.05）。护理前，对照组和研究组的应对评分无显著差异（>0.05），但护理后，研究组的回避和依从评分明显高于对照组（<0.05）。同样，研究组的回避和屈服评分明显低于对照组（<0.05）。在研究组中，1 例患者出现切口感染，1 例患者出现癫痫，术后并发症总发生率为 4.76%。在对照组中，4 例患者出现切口感染，1 例患者出现颅内血肿，3 例患者出现深静脉血栓形成，3 例患者出现癫痫。研究组术后并发症总发生率为 26.19%，低于对照组（<0.05）。
