舒适性护理对减少嗜铬细胞瘤患者围术期主要心血管不良事件的效果

目的观察舒适性护理措施在减少嗜铬细胞瘤患者围术期主要不良心血管事件中的作用,以评价舒适性护理措施在围术期护理中的价值。方法采用随机对照的研究方法观察两组嗜铬细胞瘤手术组病例,观察组采用舒适性护理的综合护理措施;对照组采用一般优质护理措施;使用焦虑症筛查量表(GAD-7)以及自制的护理满意度测评量表对观察对象进行测评,同时记录两组患者在围术期发生的主要不良心血管事件例数,对比两组患者在主要心血管不良事件中发生的差异。结果两组患者入院时焦虑评分分别为(12.3±3.1)、(11.9±3.3)分,两组比较差异无统计学意义(P>0.05)。术前1 d焦虑评分分别为(8.9±1.3)、(13.3±3.5)分。观察组术前1 d与入院时比较差异有统计学意义(P<0.05),对照组差异无统计学意义(P>0.05)。两组术前1 d焦虑评分差异有统计学意义(P<0.05)。观察组发生主要不良心血管事件2例(8%),对照组发生主要心血管不良事件8例(32%),两组比较差异有统计学意义(P<0.05)。观察组、对照组的患者护理满意度得分分别为(92.3±3.1)、(82.1±4....

Clinical observation of comfort nursing to reduce major cardiovascular adverse events in perioperative nursing care for pheochromocytoma patients.

Objectives To observe the role of comfort nursing measures in reducing major adverse cardiovascular events in patients with pheochromocytoma, thus to evaluate the value of comfort nursing measures in perioperative nursing. Methods Fifty Patients with pheochromocytoma operation were randomized divided into observation group, in which n comprehensive measures of comfort nursing were adopted; and control group, in which general quality nursing measures were adopted. GAD-7 anxiety scale and self-made nursing satisfaction scale were used to evaluate the observation participants. At the same time, the number of major adverse cardiovascular events during the perioperative period was recorded and compared. Results There was no significant statistical difference in general data between the observation group and the control group (P>0.05). The anxiety scores of the two groups were 12.3±3.1 and 11.9±3.3 at admission, with no significant difference between them (P>0.05). Anxiety scores on the day before surgery were 8.9±1.3 and 13.3±3.5, with statistically significant difference in observation group compared with at admission (P<0.05); butno significant difference in control group (P>0.05). There was significant differences between the two groups (P<0.05). Two major adverse cardiovascular events occurred in the observation group (2/25), and eight major adverse cardiovascular events occurred in the control group (8/25); and there was a statistically significant difference between the two groups (P<0.05). The nursing satisfaction score of patients in the observation group was 92.3±3.1, and in the control group was 82.1±4.1, with significant difference between the two groups (P<0.05). Conclusion Comfort nursing measures can reduce perioperative anxiety and tension of patients with pheochromocytoma, reduce the probability of major adverse cardiovascular events, and improve the nursing satisfaction of patients.