| 0bjective:This study retrospectively analyzed the glioma patients' data operated in the neurosurgery department in the first hospital of Jilin university.Clinical indications and nursing evaluation index were assessed.Glioma patients before and after operation consciousness,life ability,ability to care for state changes were analyzed.To explore possible postoperative nursing factors in glioma patients that affected the evaluation results,and aimed to provide reference basis to treat the patients in clinic with more effective,more targeted treatment and care programs.Methods:The clinical data of 290 casesprimary brain glioma from January to December in 2016 received surgical treatment in Neurosurgery No.1 Hospital of Jilin University were obtained in,including 166 cases of male,female 124 cases,male / female ratio was 1.34.The tumor boundary was determined by CT and MRI scan,and the lesion was removed by surgical resection to get the pathological diagnosis.General informationof the patients(gender,age,province,occupation,marital status,nationality,hospitalization days),clinical diagnosis and treatment data(tumor location,tumor classification,pathological grading,operation mode,operation level and grade of anesthesia,anesthesia),nursing assessment information data(admission methods,state of consciousness,skin condition,life ability,self-care ability,safety assessment)were collected to analyze.Patients conscious state,state of the skin,eating ability,eating patterns,activity ability,urination and defecation,self-care ability and pressure sores,sank bed fall in the risk before and after surgery were assessed.SPSS20.0 statistical software was used for statistical analysis.Result:1.General information: The gender distribution of patients was 166 cases(57%)in men,124 in women(43%),and male/female ratio was 1.34.Age distribution,137 patients aged 50 and 60 years and above(47.3%).Hospitalization time distribution,the average hospitalization days were 21.87±12.00 days,most patients(119 cases,41.0%)out of thehospital were 15 to 21 days,,followed by 14 days or less(65 cases,22.4%),234 cases(83.8%)patients were discharged within 28 days.2.The clinical diagnosis and treatment situation:most patients(234 cases,80.7%)glioma was located in the brain,with the highest number in the frontal lobes(123cases,42.4%),followed by temporal lobe(53cases,18.3%).Most cases were performed with above tentorium cerebelli operation(248cases,85.5%).Surgical level,most were 3rd grade surgeries,(240 cases,82.8%).General anesthesia was used in anesthesia.The level of anesthesia was classified,with a maximum of two levels(228 cases,78.6%).The highest proportion of pathological diagnosis was glioblastoma(140 cases,48.3%).The WHO classification,84 cases(29%)with low grade glioma,I level 3 cases(1%),grade ? 81 cases(28%),206 patients with high-grade glioma(71%),? level 58 cases(20%),grade ? 148 cases(51%).3.Consciousness: the number of postoperative fuzzy and coma patients increased obviously,and the difference had statistical significance(P < 0.05).4.Skin state: there was no statistically significant difference between skin state(P>0.05).5.Living ability: There was a significant increase in the number of people who assisted in eating and swallowing after the operation,and the difference was statistically significant(P<0.05).The patients with nasal feeding increased significantly after surgery,and the difference was statistically significant(P<0.05).The activity ability of postoperative patients decreased significantly,and the difference was statistically significant(P<0.05).Postoperative urination and defecation were the same as before surgery(P>0.05).6.There was a significant increase in partial dependence and total dependence of the postoperative patients,and the difference was statistically significant(P < 0.05).7.The risk index of postoperative pressure:it was significantly higher in postoperative patients,and the difference was statistically significant(P < 0.05).8.Risk assessment of fall and falling bed:the risk index of fall and falling bed were significantly higher.The difference was statistically significant(P < 0.05).Conclusions:1.For all the 290 glioma patients,the proportion of male and female patients with glioma was 1.34:1,male more than female;most patients were elderly people aged 50 and over,accounting for 47.3%.The average length of hospital stay was 21.87±12.00 days.2.For all the glioma patients in this study,the tumor was mainly located in the frontal lobe(42.4%),and the postoperative pathological diagnosis was mainly glioblastoma,which accounted for 48.3%.3.For all the glioma patients in this study,postoperative consciousness,activity ability,eating patterns,self-care ability,risk of pressure ulcers,and fall,fall the bed of the glioma patients worsened than those of pre-operation,so postoperative nursing is a focus in the perioperative nursing. |
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