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目的分析预见性护理干预在经鼻蝶入路垂体瘤切除手术患者中的应用效果。方法选取2015年1月—2017年1月在南京医科大学附属无锡人民医院行经鼻蝶入路垂体瘤切除手术的患者80例,根据护理方式分为对照组和观察组,每组40例。对照组患者采用常规护理干预,观察组患者采用预见性护理干预。比较两组患者手术相关指标(包括手术时间、术中出血量、住院时间、术后症状缓解率)、术后尿崩症及其他并发症发生率、护理满意度。结果观察组患者手术时间、住院时间短于对照组,术中出血量少于对照组,术后症状缓解率高于对照组(P<0.05)。观察组患者术后尿崩症及其他并发症发生率低于对照组(P<0.05)。观察组患者护理满意度优于对照组(P<0.05)。结论预见性护理干预可有效缩短经鼻蝶入路垂体瘤切除手术患者手术时间及住院时间,减少患者术后尿崩症等并发症的发生,提高护理满意度。
Objective To analyze the effect of predictive nursing intervention in patients undergoing transnasal pituitary tumor resection. Methods From January 2015 to January 2017, 80 patients underwent resection of pituitary adenoma with nasalis patellectomy at Wuxi People’s Hospital Affiliated to Nanjing Medical University from January 2015 to January 2017. The patients were divided into control group and observation group according to nursing mode, 40 cases in each group. The control group received routine nursing intervention and the observation group received prospective nursing intervention. Surgical related indicators (including operation time, intraoperative blood loss, hospital stay, postoperative symptom relief rate), postoperative diabetes insipidus and other complications, nursing satisfaction were compared between the two groups. Results The operation time and hospital stay of the observation group were shorter than those of the control group. The blood loss during operation was less than that of the control group. The rate of postoperative symptom relief was higher than that of the control group (P <0.05). The incidence of postoperative diabetes insipidus and other complications in the observation group was lower than that in the control group (P <0.05). The nursing satisfaction of patients in observation group was better than that of control group (P <0.05). Conclusion Predictive nursing intervention can effectively shorten the operation time and hospitalization time of patients undergoing transnasal pituitary tumor resection, reduce the incidence of postoperative diabetes insipidus and other complications, and improve nursing satisfaction.