全程无缝隙护理对胶质瘤患者围术期应激反应影响.docVIP

全程无缝隙护理对胶质瘤患者围术期应激反应影响 　　[摘要] 目的 探讨全程无缝隙护理对胶质瘤手术患者围术期应激反应的影响。 方法 选取哈尔滨医科大学附属第一医院2015年4月～2017年4月收治的80例胶质瘤患者，采取随机数字表法分为对照组与观察组，每组各40例，对照组给予常规护理，观察组给予全程无缝隙护理，比较两组患者的围术期应激反应指标及护理满意度。 结果 观察组护理满意度（95.00%）高于对照组（80.00%），差异有统计学意义（P 0.05）。两组入院时、术前1 d及术后3 d心率、血压比较，差异均有统计学意义（P 0.05）。两组术前1 d心率、血压高于入院时，对照组升高更加显著；术后3 d两组上述指标均低于术前1 d，观察组降低更加明显，差异均有统计学意义（P 0.05）。 结论 全程无缝隙护理相比于常规护理，能够更好地控制胶质瘤围术期患者的应激反??指标，更易于被患者接受和认可，护理满意度较高。 　　[关键词] 全程无缝隙护理；胶质瘤；手术；围术期应激反应 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）12（b）-0144-04 　　[Abstract] Objective To explore the effects of non-gap nursing on perioperative stress response in patients with glioma. Methods From April 2015 to April 2017， 80 cases of patients with glioma treated in the First Affiliated Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table， with 40 cases in each group. The control group was given routine nursing care and the observation group was given non-gap nursing on the bases of the control group. The perioperative stress indexes and the nursing satisfaction were compared between the two groups. Results The nursing satisfaction in the observation group（95.00%） was higher than that of control group （80.00%）， with statistically significant difference （P 0.05）. There were significant differences in the stress indexes of heart rate and blood pressure in the two groups at the different times of admission time， 1 d before operation and 3 d after operation （P 0.05）. At the time of 1 d before operation， the indexes above in the two groups were all higher than those of admission time， and the control group increased more significantly. At the time of 3 d after operation， the indexes above in the two groups were all lower than those of 1 d before operation， and the observation group decreased more significantly， with statistically significant difference （P 0.05）. Conclusion The non-gap nursing can control the stress indexes better than the routin