标题：医护一体化护理模式对脑胶质瘤患者微创手术预后的影响

      作者：张和妹，邢增娜，廖薇薇，李斌    海南省人民医院神经外科，海南 海口 570311

      卷次： 2019年30卷21期

      【摘要】 目的 探讨医护一体化护理模式对脑胶质瘤患者微创手术预后的影响。方法 选取2016年8月至2017年12月在海南省人民医院神经外科行微创手术的脑胶质瘤患者82例，采用随机数表法随机分为观察组和对照组，每组41例。对照组给予常规术后护理，观察组给予医护一体化护理模式进行术后护理，采用SAS焦虑自评量表比较两组患者入院和出院时的焦虑情况；比较出院后随访6个月两组患者的并发症发生情况；入院时和末次随访时采用世界卫生组织生存质量测定量表(WHOQOL-100)比较两组患者的生存质量。结果 观察组患者出院时SAS评分为(48.08±5.31)分，明显低于对照组的(51.24±5.27)分，差异有统计学意义(P<0.05)；随访6个月，观察组患者的并发症发生率为 36.59%，明显低于对照组的 60.98%，WHOQOL-100评分为(63.36±8.22)分，明显高于对照组的(53.77±9.38)分，差异均具有统计学意义(P<0.05)。结论 医护一体化护理模式可以明显缓解脑胶质瘤患者微创手术后焦虑情绪，减少术后并发症发生风险，有效提高患者术后生存质量，值得临床借鉴推广。
      【关键词】 医护一体化护理；脑胶质瘤；微创手术；预后；焦虑
      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2019）21—2850—03

Effect of integrated nursing model on the prognosis of minimally invasive surgery in patients with glioma.
ZHANGHe-mei, XING Zeng-na, LIAO Wei-wei, LI Bin. Department of Neurosurgery, Hainan General Hospital, Haikou 570311,Hainan, CHINA
【Abstract】 Objective To investigate the effect of integrated nursing model on the prognosis of minimally inva-sive surgery in patients with glioma. Methods Eighty-two patients with glioma undergoing minimally invasive surgeryin Department of Neurosurgery at Hainan General Hospital from August 2016 to December 2017 were selected and ran-domly divided into the observation group and control group according to random number table, with 41 patients in eachgroup. Patients in the control group received routine postoperative care, while those in the observation group were givenintegrated nursing model of medical care for postoperative care. The anxiety situation at admission and discharge wasevaluated by Self-Rating Anxiety Scale (SAS) and compared between the two groups. The complications of the twogroups were compared after 6 months follow-up. The quality of life of the two groups was compared by the World HealthOrganization Quality of life assessment (WHOQOL-100) at admission and at the last follow-up. Results The SAS scoreof the observation group was 48.08±5.31, which was significantly lower than 51.24±5.27 of the control group (P<0.05).During the 6-month follow-up, the incidence of complications was 36.59% in the observation group, which was signifi-cantly lower than 60.98% of the control group, and the WHOQOL-100 score was 63.36±8.22, which was significantlyhigher than 53.77±9.38 of the control group, both with statistically significant difference (P<0.05). Conclusion The inte-grated nursing model of medical care can significantly alleviate anxiety after patients with glioma after minimally inva-sive surgery, reduce the risk of postoperative complications, and effectively improve the quality of patients' survival aftersurgery, which is worthy of clinical reference and promotion.
      【Key words】 Integrated nursing model; Glioma; Minimally invasive surgery; Prognosis; Anxiety·护理·doi:10.3969/j.issn.1003-6350.2019.21.039基金项目：海南省卫生计生行业科研项目(编号：15A200062)