Effects of Staged Nursing Care on Neuroendoscopic Transsphenoidal Pituitary Adenoma Resection and Postoperative Complications

Abstract

Objective. The purpose of this study was to determine whether staged nursing had an impact on the outcome of neuroendoscopic transsphenoidal pituitary tumor resection and postoperative complications. Methods. As research participants, we chose 88 individuals with pituitary adenomas who were treated at our institution between February 2020 and November 2021; all patients received endoscopic transsphenoidal pituitary adenoma excision. The patients were randomly divided into two groups: the routine group (n = 44) and the stage group (n = 44). Patients in the routine group received care according to the routine nursing mode, and patients in the stage group received care according to the stage nursing mode. The staged nursing interventions included preoperative, intraoperative, and postoperative nursing. Postoperative recovery-related indicators such as the self-rating anxiety scale (SAS) and a self-rating depression scale (SDS), contentment, comfort, and postoperative complications were compared between the two groups. Results. The postoperative recovery-related indexes of patients in the stage group were significantly lower than those in the routine group ( $P<0.05$ ); the SAS and SDS scores in the stage group after treatment were significantly lower than those in the routine group ( $P<0.05$ ); patients in the stage group were significantly more satisfied with their treatment after treatment than those in the routine group ( $P<0.05$ ); patients in the stage group were significantly more comfortable after treatment than those in the routine group ( $P<0.05$ ); a significantly lower incidence of postoperative complications was observed in the stage group compared to the routine group ( $P<0.05$ ). Conclusion. Patients with neuroendoscopic transsphenoidal pituitary tumor excision benefit greatly from staged nursing. The nursing approach may successfully assure the procedure’s smooth completion, boost patients’ postoperative recovery, and reduce patients’ worry, despair, and other unpleasant feelings. The nursing approach may successfully increase clinical satisfaction and comfort of patients by minimizing the likelihood of postoperative problems, and it is well-suited for practical use.