Analysis On Postoperative Agitation Of Sellar Region Tumor And Observation Of Effectiveness Of Nursing Risk Management

Objective: To investigate the risk factors of agitation in patients after the operation of excising the sellar region tumor, explore effects of postoperative agitation on nursing adverse events as well as observe effectiveness of nursing risk management on precaution of nursing adverse events. Methods: 451 patients who were performed resection of sellar region tumor in our hospital from January, 2013 to June, 2015 were selected as the object. The study was divided into three parts. In the case-control study, patients were divided into the case group and the control group according to occurrence of agitation. Chi-square test and logistic regression analysis with multiple factors were applied to analyze the risk factors of postoperative agitation. In the retrospective cohort study, patients were divided into the exposure group and the control group according to occurrence of agitation. It aimed to observe effects of postoperative agitation on the occurrence of nursing adverse events. In the retrospective survey study, intervention effects of nursing risk management started from March, 2014 on nursing adverse events were observed. Results: 54 patients were observed with postoperative agitation after the operation. Multiple factors analysis indicated that the male, transfrontal operation, postoperative endotracheal intubation were independent risk factors of agitation after the operation of excising the sellar region tumor. The OR respectively were 2.17 (95% CI: 1.36-3.34), 4.81 (95% CI: 2.95-7.67) and 3.11 (95% CI: 2.14-4.96) after being adjusted. In addition, compared with pituitary tumor, the risk of postoperative agitation occurred to patients with craniopharyngioma significantly increased. Compared with the patients in the group without postoperative agitation, the occurrence rate of nursing adverse events in the group of patients with postoperative agitation increased. And the occurrence rate of nursing adverse events was lowered by the nursing risk management. Conclusion: The male, transfrontal operation, areas affected, postoperative endotracheal intubation were all related to the agitation after the operation of excising the sellar region tumor. The postoperative agitation would increase the occurrence of nursing adverse events. Applying the nursing risk management among patients would help reduce the nursing risk and strengthen patients' safety.