Challenges and countermeasures of preoperative and postoperative neurosurgery care for patients undergoing scoliosis surgery
脊柱侧弯手术患者术前术后神经外科护理的挑战与对策探讨

摘要

目的 诠释关于脊柱侧弯手术前后神经外科护理的难题及解决办法。方法 30名同样的病例被选作研究目标，分为观察及对照，各15人。常规的护理方法被两组病例接受，而观察组在此基准上有所增加为神经外科护理。通过比较术前术后HAMA、HAMD的分数评价，术后恢复所需时间，以及生活质量的评价等因素进行评估。结果 观察组在HAMA、HAMD评分显著低于对照组，P<0.05且术后恢复和住院时间明显较对照组短，P<0.05。生活质量评价在干预后各项指标显著优于对照组，P<0.05。并发症率为6.67%，比对照组（26.67%）有所降低，尽管统计学上并无显著差异，P>0.05，但明显优于对照组。结论 对脊柱侧弯手术患者实施术前术后神经外科护理能有效改善其心理状况、缩短康复时间，提高生活质量，减少并发症，值得临床推广。

Abstract

Objective To explain the problems and solutions of neurosurgical nursing before and after scoliosis surgery.
Methods 30 cases were selected as the study target, divided into observation and control, 15 people each. Conventional care was accepted in both groups of cases, while the observation group was increased from this baseline to neurosurgical care. The score evaluation of HAMA and HAMD before and after operation, the time required for postoperative recovery, and the evaluation of quality of life were compared.
Results The HAMA and HAMD scores in the observation group were significantly lower than those in the control group (P<0.05), and the postoperative recovery and hospitalization time were significantly shorter than those in the control group (P<0.05). The quality of life evaluation after intervention was significantly better than that of control group (P<0.05). The complication rate was 6.67%, which was lower than that of the control group (26.67%), although there was no statistically significant difference (P>0.05), it was obviously better than that of the control group.
Conclusion   Preoperative and postoperative neurosurgical nursing for patients with scoliosis surgery can effectively improve their psychological status, shorten the rehabilitation time, improve the quality of life and reduce complications, which is worthy of clinical promotion.