摘要
目的探讨在颅内宽颈动脉瘤双微导管介入治疗围术期无缝隙护理模式的实践效果及应用价值。方法选取2017年1月—2018年6月我院收治的90例拟实施双微导管介入治疗的颅内宽颈动脉瘤患者,以随机数字表分为常规组和无缝隙组。常规组45例患者于围术期实施常规护理模式,无缝隙组45例患者于围术期实施无缝隙护理模式。对比预后、护理后心理状态、诊疗依从性、相关健康知识认知情况,对比住院期间两组并发症发生率。结果两组均无植物状态和死亡病例,无缝隙组预后分布与常规组差异显著(P<0.05),且无缝隙组预后良好率高于常规组(P<0.05);无缝隙组护理后恐惧、焦虑、抑郁、躯体状况未满足、社会退缩、预感性悲哀发生率均明显低于常规组(P<0.05);两组诊疗依从性分布差异显著(P<0.05),且无缝隙组优良率高于常规组(P<0.05);无缝隙组关于病因病机、介入治疗、术后并发症防控、不良生活行为习惯改善健康知识认知评分均明显高于常规组(P<0.05);无缝隙组总并发症发生率明显低于常规组(P<0.05)。结论对颅内宽颈动脉瘤双微导管介入治疗围术期实施无缝隙护理模式能够改善预后和情绪,提升诊疗依从性,增强相关健康知识认知情况,减少并发症。
Objective To explore the practice effect and application value of seamless nursing mode during perioperative period in interventional therapy for broad neck intracranial aneurysms with double micro catheter.Methods Ninety patients with broad neck intracranial aneurysms scheduled to undergo double micro catheter interventional therapy were selected,they ever hospitalized in our hospital during January 2017 to June2018,and they were divided into routine group and seamless group by a random number table. Routine nursing care was implemented in 45 patients in the routine group,while the seamless nursing mode was implemented in 45 patients in the seamless group during operation period. The prognosis,psychological states after nursing,diagnosis and treatment compliance,and related health knowledge were compared. The incidences of complications in 2 groups during hospitalization were statistically compared. Results There was no vegetative state and death in the two groups. The prognosis of the seamless group was significantly different from that of the routine group( P< 0.05). The good prognosis rate in the seamless group was higher than that the routine group( P < 0. 05). The incidences of fear,anxiety,depression,unsatisfied physical condition,social withdrawal and premonitory sadness in seamless group were significantly lower than the routine group( P<0.05). There was a significant difference in the distribution of compliance between the two groups( P < 0. 05),and the excellent and good rate of seamless group was higher than the routine group( P < 0. 05). The health knowledge cognitive scores of etiology,pathogenesis,interventional therapy,prevention and control of postoperative complications,improvement of bad living habits in the seamless group were significantly higher than the routine group( P< 0.05). The incidence of total complications in the seamless group was significantly lower than the routine group( P<0.05).Conclusions The seamless nursing mode during operation period by interventional therapy with double micro catheter in the treatment of broad neck intracranial aneurysms could improve the prognosis and mood,enhance the compliance of diagnosis and treatment,enhance the awareness of relevant health knowledge and reduce complications.
作者
徐晓炜
潘静静
XU Xiao-wei(The first affiliated hospital of Wannan Medical College,Wuhu,Anhui,241001,China)
出处
《齐齐哈尔医学院学报》
2018年第17期2056-2059,共4页
Journal of Qiqihar Medical University
关键词
颅内宽颈动脉瘤
双微导管介入治疗
围术期
无缝隙护理模式
Broad neck intracranial aneurysms
Interventional therapy with double micro catheter
Perioperative period
Seamless nursing model
