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

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