The comparative analysis of adverse reaction index and nursing intervention effect for brain tumor patients before and after gamma knife treatment / 中国医学装备

ABSTRACT

Objective:To compare the adverse reactions for patients with brain tumor before and after gamma knife treatment, and analyze the application effect about pertinency nursing intervention measures.Methods: From January 2015 to February 2016, 80 patients with brain tumor who were treated by gamma knife were divided in observation group (40 cases, received pertinency nursing) and control group(40 cases, received normal nursing intervention) with random number table. And to compare the nursing effect difference between the two goups.Results: The average intracranial pressure of the two groups was (186.4±34.2)mmH2O before treatment; it was (232.3±41.5)mmH2O after treatment; and the difference was statistical significant (t=7.634,P=7.634). The observation group were lower than control group in epilepsy, scalp rupture and scalp infection rate, and the difference was statistical significant(x2=4.211,x2=5.541,x2=3.914;P<0.05). The average intracranial pressure and recovery time of observation group were (195.3±36.9)mm H2O and (13.4±3.2)d, respectively, after treatment. Both of the two indexes were lower than (218.2±42.5) mmH2O and (16.1±3.7)d of control group, and the difference was statistical significant(t=2.573, t=3.491;P<0.05). The observation group were lower than control group in occurrence rates of headache, vomiting and papilledema, and the difference were statistical significant (x2=4.114, x2=5.000,x2=4.211;P<0.05); the observation group was higher than control group for treatment satisfaction, and the difference was statistical significant (x2=5.165,P<0.05).Conclusion: The intracranial pressure of brain tumor patients will significantly rise after gamma knife treatment, and the pertinency nursing can reduce the occurrence rates of adverse reaction, intracranial pressure and symptom of encephaledema.