Application of meticulous nursing based on enhanced recovery after surgery in patients after meningioma surgery
10.3760/cma.j.cn115682-20210508-02000
- VernacularTitle:基于加速康复外科的精细化护理干预在脑膜瘤术后患者中的应用
- Author:
Jing ZHANG
1
;
Dongbo GUO
;
Xiaochen XIA
;
Xinping XU
Author Information
1. 河南省肿瘤医院 郑州大学附属肿瘤医院神经外科，郑州 450000
- Keywords:
Meningioma;
Enhanced recovery after surgery;
Meticulous nursing
- From:
Chinese Journal of Modern Nursing
2021;27(29):4015-4019
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of meticulous nursing based on enhanced recovery after surgery (ERAS) in patients after meningioma surgery.Methods:From June 2020 to February 2021, convenience sampling was used to select 124 meningioma patients with surgery in the Neurosurgery Department of Henan Cancer Hospital as the research object. The patients were divided into the observation group and the control group, with 62 cases in each group. The control group was given routine nursing during the perioperative period of neurosurgery, and the observation group conducted meticulous nursing based on ERAS on the basis of the control group. This study compared the early postoperative ambulation between the two groups of meningioma patients, including the time to get out of bed for the first time, the time of first ambulation, and the distance to first ambulation. The Self-rating Anxiety Scale (SAS) , Self-rating Depression Scale (SDS) and the Barthel Index for activities of daily living (ADL) were used to compare the anxiety, depression and ADL of the two groups of meningioma patients before and after nursing care. The incidence of complications within 7 days after the surgery of the two groups of meningioma patients was compared.Results:The time to get out of bed for the first time, time of first ambulation, and the distance to first ambulation in the observation group were better than those in the control group, and the differences were statistically significant ( P<0.01) . The ADL scores of patients of the observation group after nursing were higher than those of the control group, and the scores of SAS and SDS were lower than those of the control group, and the differences were statistically significant ( P<0.01) . The incidence of complications in the observation group within 7 days after surgery was 9.7% (6/62) , which was lower than 27.4% (17/62) in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:ERAS-based meticulous nursing can improve early postoperative ambulation in patients with meningioma, help relieve patients' anxiety and depression, increase patients' ADL, and reduce postoperative complications, which is worthy of clinical application.
