首页|基于风险管理的精细化干预对脑胶质瘤患者术后风险事件及生活质量的影响

基于风险管理的精细化干预对脑胶质瘤患者术后风险事件及生活质量的影响

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目的 探讨基于风险管理的精细化干预对脑胶质瘤患者术后风险事件及生活质量的影响.方法 将105例脑胶质瘤手术患者按干预方式的不同分为对照组(n=51)和观察组(n=54),对照组患者采取常规干预,观察组患者采取基于风险管理的精细化干预.比较两组患者术后恢复情况、术后风险事件发生率、并发症发生率以及生活质量.结果 观察组患者术后首次排便时间、术后首次下床活动时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01).观察组患者术后风险事件总发生率、并发症总发生率均低于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者躯体功能、情绪功能、社会功能、认知功能、角色功能评分均较干预前升高,且观察组患者躯体功能、情绪功能、社会功能、认知功能、角色功能评分均高于对照组,差异均有统计学意义(P﹤0.05).结论 基于风险管理的精细化干预应用于脑胶质瘤术后患者,可降低患者术后风险事件及并发症发生率,改善患者生活质量,促进患者术后康复.
Effect of refined intervention based on risk management on postoperative risk event and quality of life in patients with glioma
Objective To explore the effect of refined intervention based on risk management on postoperative risk event and quality of life in patients with glioma.Method A total of 105 patients with glioma surgery were divided into control group(n=51)and observation group(n=54)according to different intervention methods.Patients in the control group were given routine intervention,while patients in the observation group were given refined intervention based on risk management.The postoperative recovery,incidence of postoperative risk events,incidence of complications and qual-ity of life were compared between the two groups.Result The time of first defecation,first ambulation and hospital stay in the observation group were significantly shorter than those in the control group,the differences were statistically signif-icant(P<0.01).The total incidence of postoperative risk events and complications in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of physical function,emotional function,social function,cognitive function and role function of the two groups were higher than those before the intervention,and the above scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The application of refined intervention based on risk management in postoperative patients with glioma can reduce the incidence of postoperative risk events and com-plications,improve the quality of life,and promote the postoperative rehabilitation.

gliomarisk managementrefined interventionpostoperative risk eventquality of life

狄丽宏、焦洋洋、陈深

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安阳市人民医院神经外科,河南 安阳 455000

脑胶质瘤 风险管理 精细化干预 术后风险事件 生活质量

安阳市科技发展计划项目

2021C01SF054

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(5)
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