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目的探讨临床护理路径对枕骨大孔区脑膜瘤患者的焦虑情绪、住院满意度和巴氏指数的影响。方法选择2013年1月至2015年10月入院治疗的枕骨大孔区脑膜瘤显微手术患者40例,以2013年1月至2014年4月的20例患者作为对照组,2014年5月至2015年10月的20例患者作为路径组。对照组采用常规护理方法,路径组在常规护理的基础上严格执行临床护理路径予以护理,比较两组患者入院时和出院当天病情稳定时的焦虑状态、患者对护理满意度和日常生活能力巴氏指数得分情况。结果两组患者入院当天的焦虑评分差异无统计学意义(P>0.05)。出院当天,路径组的焦虑评分低于对照组[(48.07±4.787)分vs(56.15±5.471)分,P<0.01];巴氏指数评分高于对照组[(65.24±6.610)分vs(60.61±5.612)分,P<0.01];住院满意度问卷得分高于对照组[(92.00±3.058)分vs(83.80±3.716)分,P<0.01],差异均有统计学意义。结论在枕骨大孔区脑膜瘤显微手术患者中实施临床护理路径,可以有效提高护理质量,缓解枕骨大孔区脑膜瘤患者的焦虑情绪,提高患者的住院满意度及日常生活能力。
Objective To investigate the influence of clinical nursing pathway on anxiety, hospitalization satisfaction and Papanicum index in patients with meningioma in the foramen magnum. Methods From January 2013 to October 2015, 40 patients underwent microsurgical treatment of meningioma in the foramen magnum, from January 2013 to October 2014, 20 patients from January 2013 to April 2014 were selected as the control group. From May 2014 to Twenty patients in October 2015 served as a pathway group. In the control group, the routine nursing method was adopted. The path group was strictly followed the path of clinical nursing care based on routine nursing care. The anxiety state at the time of hospitalization and stable discharge on the day of discharge was compared between the two groups. Patient’s nursing satisfaction and daily living ability Index score situation. Results There was no significant difference in anxiety scores between the two groups on the day of admission (P> 0.05). On the day of discharge, the anxiety score of the route group was lower than that of the control group [(48.07 ± 4.787) vs 56.15 ± 5.471 (P <0.01]; the Papanicum Index score was higher than that of the control group [(65.24 ± 6.610) vs (60.61 ± 5.612), P <0.01]. The score of hospital satisfaction questionnaire was higher than that of the control group [(92.00 ± 3.058) vs (83.80 ± 3.716) points, P <0.01]. The differences were statistically significant. Conclusions The implementation of clinical nursing pathway in patients with meningioma microsurgical foramen magnum can effectively improve the quality of care and relieve the anxiety in patients with meningioma in the foramen magnum and improve their hospitalization satisfaction and daily living ability.