Fei Yaya, Zhang Jiajia, Gu Yudan
The Second Ward of Neurosurgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Evid Based Complement Alternat Med. 2022 Aug 5;2022:2171529. doi: 10.1155/2022/2171529. eCollection 2022.
The purpose of this study was to determine whether staged nursing had an impact on the outcome of neuroendoscopic transsphenoidal pituitary tumor resection and postoperative complications.
As research participants, we chose 88 individuals with pituitary adenomas who were treated at our institution between February 2020 and November 2021; all patients received endoscopic transsphenoidal pituitary adenoma excision. The patients were randomly divided into two groups: the routine group ( = 44) and the stage group ( = 44). Patients in the routine group received care according to the routine nursing mode, and patients in the stage group received care according to the stage nursing mode. The staged nursing interventions included preoperative, intraoperative, and postoperative nursing. Postoperative recovery-related indicators such as the self-rating anxiety scale (SAS) and a self-rating depression scale (SDS), contentment, comfort, and postoperative complications were compared between the two groups.
The postoperative recovery-related indexes of patients in the stage group were significantly lower than those in the routine group ( < 0.05); the SAS and SDS scores in the stage group after treatment were significantly lower than those in the routine group ( < 0.05); patients in the stage group were significantly more satisfied with their treatment after treatment than those in the routine group ( < 0.05); patients in the stage group were significantly more comfortable after treatment than those in the routine group ( < 0.05); a significantly lower incidence of postoperative complications was observed in the stage group compared to the routine group ( < 0.05).
Patients with neuroendoscopic transsphenoidal pituitary tumor excision benefit greatly from staged nursing. The nursing approach may successfully assure the procedure's smooth completion, boost patients' postoperative recovery, and reduce patients' worry, despair, and other unpleasant feelings. The nursing approach may successfully increase clinical satisfaction and comfort of patients by minimizing the likelihood of postoperative problems, and it is well-suited for practical use.
本研究旨在确定阶段性护理是否对神经内镜经蝶窦垂体瘤切除术的结果及术后并发症产生影响。
作为研究参与者，我们选取了2020年2月至2021年11月在我院接受治疗的88例垂体腺瘤患者；所有患者均接受了内镜经蝶窦垂体腺瘤切除术。将患者随机分为两组：常规组（n = 44）和阶段组（n = 44）。常规组患者按照常规护理模式接受护理，阶段组患者按照阶段性护理模式接受护理。阶段性护理干预包括术前、术中和术后护理。比较两组患者术后恢复相关指标，如自评焦虑量表（SAS）、自评抑郁量表（SDS）、满意度、舒适度及术后并发症。
阶段组患者术后恢复相关指标显著低于常规组（P < 0.05）；治疗后阶段组的SAS和SDS评分显著低于常规组（P < 0.05）；阶段组患者治疗后对治疗的满意度显著高于常规组（P < 0.05）；阶段组患者治疗后的舒适度显著高于常规组（P < 0.05）；与常规组相比，阶段组术后并发症发生率显著更低（P < 0.05）。
神经内镜经蝶窦垂体瘤切除术患者从阶段性护理中获益巨大。该护理方法可成功确保手术顺利完成，促进患者术后恢复，并减轻患者的焦虑、绝望等不良情绪。该护理方法可通过降低术后问题的发生率成功提高患者的临床满意度和舒适度，非常适合实际应用。
