Construction and application of the standard process of thirst management for patients undergoing endonasal transsphenoidal surgery for pituitary adenomas
10.3760/cma.j.cn115682-20220308-01055
- VernacularTitle:经鼻蝶入路垂体瘤切除术患者口渴管理标准流程的构建及应用
- Author:
Xuelian JIANG
1
;
Ping LIU
;
Siyi QIN
;
Yuping GUO
;
Mengnan LI
Author Information
1. 中国科学技术大学附属第一医院（安徽省立医院）神经外科，合肥 230036
- Keywords:
Pituitary neoplasms;
Neurosurgical procedures;
Thirst;
Standard procedure
- From:
Chinese Journal of Modern Nursing
2023;29(1):57-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the construction and application of the standard process of thirst management for patients undergoing endonasal transsphenoidal surgery for pituitary adenomas.Methods:From June 2020 to October 2021, 160 patients with endonasal transsphenoidal surgery for pituitary adenomas who were admitted to the Neurosurgery Department of the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital) were selected by convenience sampling. The patients were randomly divided into test group and control group, 80 cases in each group. The control group implemented routine nursing to prevent postoperative thirst, while the test group established a standard process of thirst management and implemented thirst prevention and interventions according to the process. The thirst intensity, thirst pain and resting salivary flow rate between the two groups was compared.Results:The thirst intensity scores of patients in the test group at 2, 6 and 24 hours after operation were lower than those in the control group, with statistically significant differences ( Z=-8.696, -10.008, -4.305; P<0.01) . The score of thirst pain in the test group was lower than that in the control group, and the resting salivary flow rate at 6 and 24 hours after operation were higher than those in the control group, with statistically significant differences ( Z=-9.488, -4.124, -2.631; P<0.01) . Conclusions:The standard process of thirst management can reduce the postoperative thirst intensity of patients with pituitary adenomas surgery and improve their thirst feeling, which is worthy of clinical promotion.
