Perioperative effect analysis of patients undergoing pituitary tumor resection by nasal sphenoidal approach under neuroendoscopic comfort care
舒适护理的神经内镜下经鼻蝶入路垂体瘤切除术患者围手术期的效果分析

摘要

目的 分析舒适护理的神经内镜下经鼻蝶入路垂体瘤切除术患者围手术期的效果。方法 选择2022年2月至2023年3月之间在我院行神经内镜下经鼻蝶入路垂体瘤切除术的80例患者，对纳入患者展开回顾性分析，将80例患者均分舒护组与临护组，舒护组患者予以舒适护理，临护组患者予以常规护理，对舒护组与临护组患者的护理结局进行对比。结果 舒护组护理满意度远高于临护组，2组数据差有统计学意义（P<0.05）。舒护组住院时间与费用远少于临护组，2组数据差有统计学意义（P<0.05）。舒护组并发症发生率远低于临护组，2组数据差有统计学意义（P<0.05）。护理前，舒护组与临护组患者生活质量差异极小（P>0.05）；护理后，舒护组患者生活质量远超于临护组，2组数据差有统计学意义（P<0.05）。护理前，舒护组与临护组患者负面情绪差异极小（P>0.05）；护理后，舒护组负面情绪远轻于临护组，2组数据差有统计学意义（P<0.05）。结论 舒适护理的神经内镜下经鼻蝶入路垂体瘤切除术患者围手术期的效果更突出，值得临床广泛运用。

Abstract

Objective To analyze the perioperative effect of comfort nursing in patients undergoing pituitary tumor resection through nasal sphenoidal approach under neuroendoscopy.
Methods A retrospective analysis was performed on 80 patients who underwent endoscopic transnasal sphenoidal neuroendoscopic pituitary tumor resection in our hospital from February 2022 to March 2023. The 80 patients were evenly divided into the palliative care group and the immediate care group. The patients in the palliative care group were given comfortable care, while those in the immediate care group were given routine care. The nursing outcomes of patients in the palliative care group and the immediate care group were compared.
Results Nursing satisfaction in the nursing care group was much higher than that in the nursing care group, and the difference between the two groups was statistically significant (P<0.05). The hospital stay and cost in the nursing group were much less than those in the nursing group, and the difference between the two groups was statistically significant (P<0.05). The incidence of complications in the palliative care group was much lower than that in the immediate care group, and the difference between the two groups was statistically significant (P<0.05). Before nursing, there was little difference in quality of life between palliative care group and immediate care group (P>0.05). After nursing, the quality of life of patients in the palliative care group was much higher than that in the immediate care group, and the difference between the two groups was statistically significant (P<0.05). Before nursing, there was little difference in negative emotion between the nursing group and the nursing group (P>0.05). After nursing, the negative emotion in the comfort group was much lighter than that in the immediate care group, and the difference between the two groups was statistically significant (P<0.05).
Conclusion   The perioperative effect of comfortable nursing neuroendoscope under transnasal sphenoidal approach for pituitary tumor resection is more prominent, and it is worthy of extensive clinical use.