论文部分内容阅读
目的探索全股骨置换术治疗股骨恶性肿瘤的护理要点及意义。方法收集我科2012年1月至2014年6月收治的6例行全股骨置换术的股骨恶性肿瘤伴跳跃灶或髓内转移患者临床观察及护理资料,包括围手术期焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、科室自制全股骨置换患者护理服务满意度调查表(简称满意度量表)评分、围手术期并发症、术后康复情况。结果本组病例手术时间为3.5~5 h,术中出血量为600~1 200 mL,术后患者住院天数为7~10 d,围手术期SAS、SDS、满意度量表标评分分别为(26.25~35.00)分、(26.26~36.25)分、(85~98)分,6例患者均未达抑郁和焦虑诊断,心理健康状况良好,患者满意度良好。所有患者均无护理并发症发生。术后3个月所有患者均未发生髋关节脱位,膝关节活动度90°~110°,关节功能良好。结论全股骨置换术治疗股骨恶性肿瘤围手术期的积极护理有利于患者身心健康和康复,对预后具有重要意义。
Objective To explore the nursing points and significance of total femoral replacement for femoral malignancies. Methods Six cases of femoral neoplasm with femoral head replacement or intramedullary metastasis from January 2012 to June 2014 in our department were collected. The clinical data and nursing information including perioperative anxiety scale SAS score, SDS score, nursing satisfaction questionnaire (referred to as Satisfaction Scale) scores, perioperative complications and postoperative rehabilitation of patients with complete femoral head replacement. Results The operation time was 3.5-5 h, the blood loss was 600-1 200 mL and the length of hospitalization was 7-10 days. The scores of perioperative SAS, SDS and satisfaction scale were (26.25 ~ 35.00) points, (26.26 ~ 36.25) points, (85 ~ 98) points, 6 patients did not reach the diagnosis of depression and anxiety, mental health was good, patient satisfaction was good. All patients had no nursing complications. No dislocation of the hip occurred in all patients at 3 months after operation. The knee mobility ranged from 90 ° to 110 ° and the joint function was good. CONCLUSION: Percutaneous total femoral replacement for perioperative management of femoral malignant tumors is beneficial to patients’ physical and psychological health and rehabilitation, which is of great significance for prognosis.