King互助达标理论下精细化护理结合门诊随访对脑肿瘤术后患者的影响

doi:10.3760/cma.j.issn.1007-1245.2024.24.036

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (24): 4241-4245.DOI: 10.3760/cma.j.issn.1007-1245.2024.24.036

King互助达标理论下精细化护理结合门诊随访对脑肿瘤术后患者的影响

余妙玲¹ 张燕² 吴静³

¹无锡市第二人民医院江南大学附属中心医院门诊，无锡　214002；²无锡市第二人民医院江南大学附属中心医院护理部，无锡　214002；³无锡市第二人民医院江南大学附属中心医院神经外科，无锡　214002

收稿日期:2024-06-09 出版日期:2024-12-15 发布日期:2024-12-22
通讯作者: 吴静，Email：768098@163.com
基金资助:
中国脑卒中高危人群干预适宜技术研究及推广项目（GN-2020R0003）

Effect of refined nursing combined with outpatient follow-up on patients after brain tumor surgery under the King's mutual aid compliance theory

Yu Miaoling¹, Zhang Yan², Wu Jing³

¹Outpatient Department, Wuxi Second People's Hospital, Affiliated Central Hospital of Jiangnan University, Wuxi 214002, China; ²Nursing Department, Wuxi Second People's Hospital, Affiliated Central Hospital of Jiangnan University, Wuxi 214002, China; ³Neurosurgery Department, Wuxi Second People's Hospital, Affiliated Central Hospital of Jiangnan University, Wuxi 214002, China

Received:2024-06-09 Online:2024-12-15 Published:2024-12-22
Contact: Wu Jing, Email: 768098@163.com
Supported by:
Research and Promotion Project of Appropriate Techniques for Stroke High-Risk Population Intervention in China (GN-2020R0003)

摘要/Abstract

摘要：

目的　探讨King互助达标理论下精细化护理结合门诊随访护理对脑肿瘤术后患者并发症、心理状态的影响。方法　选取2021年3月至2023年1月在无锡市第二人民医院接受脑肿瘤手术治疗的90例患者进行回顾性研究，根据护理方式不同分为对照组和试验组，每组45例。对照组男27例，女18例，年龄（45.08±5.37）岁，采用常规护理模式；试验组男22例，女23例，年龄（36.49±4.09）岁，采用King互助达标理论下精细化护理结合门诊随访护理。两组均干预2个月。比较两组患者术后1周内的并发症发生情况，干预前后的自我效能感、睡眠质量、心理状况，出院后护理满意度。采用t检验、χ²检验进行统计分析。结果　试验组患者并发症总发生率低于对照组［6.67%（3/45）比26.67%（12/45）］，差异有统计学意义（χ²=6.48，P<0.05）；干预后，试验组患者一般自我效能感量表（GSES）、匹兹堡睡眠质量指数（PSQI）评分均优于对照组［（41.03±4.96）分比（34.85±3.66）分、（4.22±2.11）分比（7.06±2.30）分］，焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均低于对照组［（41.40±2.64）分比（53.42±3.98）分、（43.98±3.11）分比（54.17±3.45）分］，差异均有统计学意义（t=6.73、6.10、16.88、14.72，均P<0.05）；试验组患者护理满意度高于对照组［95.56%（43/45）比73.33%（33/45）］，差异有统计学意义（χ²=8.46，P<0.05）。结论　King互助达标理论下精细化护理结合门诊随访护理可有效降低脑肿瘤术后患者的并发症发生率，改善睡眠质量并减轻抑郁和焦虑情绪，对患者心理状况有积极影响。

关键词:

脑肿瘤, 精细化护理, 随访, King互助达标理论, 心理状况

Abstract:

Objective　To explore the effects of refined nursing combined with outpatient follow-up nursing under the King's mutual aid compliance theory on complications and psychological status in patients after brain tumor surgery. Methods　A retrospective study was conducted on 90 patients who underwent brain tumor surgery in Wuxi Second People's Hospital from March 2021 to January 2023, and they were divided into a control group and an experimental group according to different nursing methods, with 45 cases in each group. In the control group, 27 males and 18 females, aged (45.08±5.37) years, received conventional nursing mode. In the experimental group, 22 males and 23 females, aged (36.49±4.09) years, received refined nursing combined with outpatient follow-up nursing under the King's mutual aid compliance theory. Both groups were intervened for 2 months. The occurrence of complications within 1 week after surgery was compared between the two groups, the self-efficacy, sleep quality, and psychological status of the two groups were assessed before and after intervention, and the nursing satisfaction of the two groups was compared after discharge. Statistical methods used were t test and χ² test. Results　The total complication rate of the experimental group was lower than that of the control group [6.67% (3/45) vs. 26.67% (12/45)], with a statistically significant difference (χ²=6.48, P<0.05). After intervention, the scores of General Self-Efficacy Scale (GSES) and Pittsburgh Sleep Quality Index (PSQI) of the experimental group were better than those of the control group [(41.03±4.96) points vs. (34.85±3.66) points, (4.22±2.11) points vs. (7.06±2.30) points]; the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were lower than those of the control group [(41.40±2.64) points vs. (53.42±3.98) points, (43.98±3.11) points vs. (54.17±3.45) points], with statistically significant differences (t=6.73, 6.10, 16.88, and 14.72, all P<0.05). The nursing satisfaction rate of the experimental group was higher than that of the control group [95.56% (43/45) vs. 73.33% (33/45)], with a statistically significant difference (χ²=8.46, P<0.05). Conclusion　Refined nursing combined with outpatient follow-up nursing under the King's mutual aid compliance theory can effectively reduce the incidence of complications in patients after brain tumor surgery, improve their sleep quality, and alleviate depression and anxiety, which has a positive impact on their psychological status.

Key words:

Brain tumor, Refined nursing, Follow-up, King's mutual aid compliance theory, Psychological condition

余妙玲张燕吴静.

King互助达标理论下精细化护理结合门诊随访对脑肿瘤术后患者的影响 [J]. 国际医药卫生导报, 2024, 30(24): 4241-4245.

Yu Miaoling, Zhang Yan, Wu Jing.

Effect of refined nursing combined with outpatient follow-up on patients after brain tumor surgery under the King's mutual aid compliance theory [J]. International Medicine and Health Guidance News, 2024, 30(24): 4241-4245.

参考文献

[1] 孙骁俊,袁建华,丁忠祥,等. 脑肿瘤患者认知异常的静息态脑功能成像研究[J]. 浙江医学,2018,40(8):809-812,后插5. DOI:10.12056/j.issn.1006-2785.2017.40.8.2018-192.
[2] 李学军,曹航,LIU YANHONG. 脑肿瘤遗传流行病学及危险因素研究进展[J]. 中南大学学报(医学版),2018,43(4):345-353. DOI:10.11817/j.issn.1672-7347.2018.04.003.
[3] 段朝晖,张敏,徐杰茹,等. 2000—2019年中国脑瘤死亡趋势分析及预测研究[J]. 中国全科医学,2023,26(6):734-741. DOI:10.12114/j.issn.1007-9572.2022.0630.
[4] 卜计源,姚辉,孙亮,等. 73例小型桥小脑角脑膜瘤的手术体会[J]. 临床神经外科杂志,2022,19(6):672-676. DOI:10.3969/j.issn.1672-7770.2022.06.013.
[5] 陈家洛,丁涟沭. 免疫靶向治疗及手术治疗在脑部肿瘤的研究进展[J]. 中国临床医生杂志,2021,49(5):526-529. DOI:10.3969/j.issn.2095-8552.2021.05.008.
[6] 刘正清,买买提艾力·吐尔逊,罗琴. 颅内肿瘤切除术后颅内感染危险因素分析[J]. 神经损伤与功能重建,2018,13(4):206-207. DOI:10.16780/j.cnki.sjssgncj.2018.04.015.
[7] Young TO , Anna K , Toms SA .The impact of hospital safety-net burden on outcomes for primary supratentorial brain tumor surgery[J].Neurosurgery, 2019(Supplement_1):Supplement_1.DOI:10.1093/neuros/nyz310_103.
[8] 胡霞. 以应激系统理论为基础的护理干预在颅内肿瘤切除术患者中的应用效果[J]. 中华现代护理杂志,2021,27(33):4592-4595. DOI:10.3760/cma.j.cn115682-20210730- 03382.
[9] 康英利,张美乐. 脑部肿瘤患者术后常见并发症分析及护理对策研究[J]. 中华肿瘤防治杂志,2018(s2):130-131. DOI:10.16073/j.cnki.cjcpt.2018.s2.084.
[10] 李英杰. 预见性护理干预对颅脑肿瘤患者围手术期压疮的预防效果[J]. 国际医药卫生导报,2016,22(3):413-415. DOI:10.3760/cma.j.issn.1007-1245.2016.03.042.
[11] 王萌斐,王倩,陈艳,等. King互动达标理论对改善腰椎间盘突出症患者认知及不良反应的效果[J]. 国际医药卫生导报,2017,23(19):2991-2994. DOI:10.3760/cma.j.issn.1007- 1245.2017.19.009.
[12] 钱晨,袁以刚,吴亢,等.成人颅内高级别脑膜瘤的长期随访研究[J].临床神经外科杂志, 2022(2):19.
[13] Varma P , Jackson ML , Junge M ,et al.0926 examining sleep in parents and children with behavioral or clinical sleep disturbances[J].SLEEP, 2020(Supplement_1):Supplement_1.DOI:10.1093/sleep/zsaa056.922.
[14] 周亚丹. 围术期预见性护理对肝癌射频消融术患者的影响[J]. 国际医药卫生导报,2023,29(5):708-713. DOI:10.3760/cma.j.issn.1007-1245.2023.05.027.
[15] 韩仁强,周金意,郑荣寿,等. 2014年中国脑瘤发病与死亡分析[J]. 中国肿瘤,2019,28(3):161-166. DOI:10.11735/j.issn.1004-0242.2019.03.A001.
[16] 李好正,李梦媛,肖抒情,等. 脑肿瘤患者术后误吸风险预测模型的构建[J]. 解放军护理杂志,2022,39(8):54-57. DOI:10.3969/j.issn.2097-1826.2022.08.014.
[17] 李艳萍,冯文娟. 脑瘤患者手术期间采用手术体位护理的干预效果及对压疮发生率的影响[J]. 山西医药杂志,2021,50(11):1885-1887. DOI:10.3969/j.issn.0253-9926.2021. 11.040.
[18] 卢放,贾春燕. 舒适护理理念在脑膜瘤手术患者围术期护理中的应用效果分析[J]. 现代消化及介入诊疗,2019(A02):1817-1818.
[19] 蒋文华,施晓萍,黄静,等. 基于King达标理论的心理干预结合亲情干预模式对BPH患者行PKEP术后恢复情况及GQOLI-74、 IPSS评分的影响[J]. 中国医药导报,2020,17(5):164-168.
[20] 南彩转. 心理干预对减轻脑肿瘤患者及其家属焦虑抑郁情绪的作用[J]. 中国药物与临床,2021,21(2):352-354. DOI:10.11655/zgywylc2021.02.075.
[21] 唐小璐,李小强,何小宇,等.心理护理干预对颅内肿瘤患者围手术期负面情绪的影响研究[J].中国肿瘤临床与康复,2022,29(9):1150-1152.DOI:10.13455/j.cnki.cjcor.2022.09.32.
[22] 熊合明,金晓英,刘秋梅,等. "一病一品"护理对改善脑卒中患者吞咽功能的效果[J]. 上海护理,2019,19(3):42-44. DOI:10.3969/j.issn.1009-8399.2019.03.011.
[23] 王甜,李美,岳圆圆,等.King达标理论在国内外临床护理实践中的应用现状[J].牡丹江医学院学报,2021,42(5):140-142.DOI:10.13799/j.cnki.mdjyxyxb.2021.05.039.
[24] 李园园,王雷,张晴. King达标理论护理干预对运动区脑肿瘤患者术后肢体功能康复训练的影响[J]. 中国医药导报,2022,19(32):155-158. DOI:10.20047/j.issn1673-7210. 2022.32.36.
[25] 赵琦,史俊杰,吴也兰,等. 2000年—2019年国内外达标理论研究的文献计量学分析[J]. 护理研究,2020,34(18):3328-3332. DOI:10.12102/j.issn.1009-6493.2020.18.027.

King互助达标理论下精细化护理结合门诊随访对脑肿瘤术后患者的影响

Effect of refined nursing combined with outpatient follow-up on patients after brain tumor surgery under the King's mutual aid compliance theory

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 13

编辑推荐

Metrics

[1]	贾晓辉丁鑫鑫潘亚娟. 精细化护理结合临床护理路径对心血管疾病介入手术患者的应用效果 [J]. 国际医药卫生导报, 2024, 30(3): 515-519.
[2]	陶娟李宁. 精细化护理联合中医康复护理对行雾化吸入喘息性支气管肺炎患儿的干预价值 [J]. 国际医药卫生导报, 2024, 30(22): 3870-3874.
[3]	尹娜叶伟坚张国良梁赤波刘汉海罗茹怀. 基于医防融合的慢病患者管理SOP的构建与实践 [J]. 国际医药卫生导报, 2024, 30(20): 3497-3502.
[4]	王丽李晨吕攀攀崔传英. 规范随访监控机制对高危儿生长发育的影响 [J]. 国际医药卫生导报, 2024, 30(12): 2004-2008.
[5]	宗海燕朱晔. 基于三度空间模型的精细化护理在AECOPD并呼吸衰竭患者中的实践研究 [J]. 国际医药卫生导报, 2024, 30(1): 145-150.
[6]	端木艳艳谢芳芳陈玉蒋名丽李丹凤. 奥马哈系统框架下开展延续护理干预在重症新生儿出院随访中的应用 [J]. 国际医药卫生导报, 2023, 29(9): 1294-1299.
[7]	伍艳群蓝建珍王笋娟李友瑾潘小欢. 个性化护理随访在先天性小耳畸形耳廓再造中的应用评价 [J]. 国际医药卫生导报, 2023, 29(3): 439-444.
[8]	苏彩虹, 黄丽秋, 李红艳, 雷莹, 杨椹, 张云芳. 腹膜透析患者规律性随访与发生并发症的相关性研究[J]. 国际医药卫生导报, 2022, 28(8): 1057-1061.
[9]	潘登, 王浩, 吴恒莲, 陈腾云, 邓运明. 基于智能疾病管理系统的类风湿关节炎疾病活动度评估的随机对照研究[J]. 国际医药卫生导报, 2022, 28(7): 937-941.
[10]	时娟娟, 张丹, 张久严, 崔秀娟. 子宫内膜腺肌瘤样息肉45例临床分析[J]. 国际医药卫生导报, 2022, 28(5): 695-698.
[11]	王慧申潇竹伏兵. 不同照护模式对脑卒中恢复期患者心理状况及生活质量的影响[J]. 国际医药卫生导报, 2022, 28(22): 3158-3162.
[12]	钟莉萍汤嘉敏苏彩虹邝秋甜李嘉琳苏妍妍. 精细化护理干预对维持性血液透析患者透析间期体质量控制的效果观察[J]. 国际医药卫生导报, 2022, 28(18): 2591-2595.
[13]	刘月梅汤昱张磊. 多模式肺康复计划对小儿哮喘中远期疗效的随机对照及纵向随访观察研究[J]. 国际医药卫生导报, 2022, 28(16): 2303-2306.