摘要
目的:观察目标导向理论护理在主动脉夹层术后患者中的应用效果。方法:选取2020年5月至2023年5月该院收治的80例主动脉夹层术后患者进行前瞻性研究,按双色球法将其分为对照组(n=40)和观察组(n=40)。对照组采用常规护理,观察组在对照组基础上采用目标导向理论护理,比较两组用药依从性、术后恢复指标[6 min步行试验(6MWT)距离、首次术后下床活动时间、住院时间]水平和术后并发症发生率。结果:观察组用药依从性为97.50%(39/40),高于对照组的75.00%(30/40),差异有统计学意义(P<0.05);观察组6MWT距离长于对照组,首次术后下床活动时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为17.50%(7/40),低于对照组的47.50%(19/40),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用目标导向理论护理可提高主动脉夹层术后患者的用药依从性,改善术后恢复指标水平,降低术后并发症发生率,效果优于单纯常规护理。
Objective:To observe application effects of goal-oriented theory nursing in postoperative patients with aortic dissection.Methods:A prospective study was conducted on 80 patients with aortic dissection admitted to the hospital from May 2020 to May 2023.According to the two-color ball method,they were divided into control group(n=40) and observation group(n=40).The control group was given routine nursing,while the observation group was given the goal-oriented theory nursing on the basis of that of the control group.The medication compliance,the postoperative recovery indexes [6-minute walking test(6MWT) distance,first postoperative ambulation time,hospitalization time] levels,and the incidence of postoperative complications were compared between the two groups.Results:The medication compliance of the observation group was 97.50%(39/40),which was higher than 75.00%(30/40) of the control group,and the difference was statistically significant(P<0.05).The 6MWT distance of the observation group was longer than that of the control group,the first postoperative ambulation time and the hospitalization time were shorter than those of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was 17.50%(7/40),which was lower than 47.50%(19/40) in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the goal-oriented theoretical nursing can improve the medication compliance of the postoperative patients with aortic dissection,improve the levels of postoperative recovery indexes,and reduce the incidence of postoperative complications.Moreover,it is superior to simple routine nursing.
作者
刘媛
刘一帆
LIU Yuan;LIU Yifan(Department of Cardiac Surgery of Nanyang First People’s Hospital,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2025年第5期165-167,共3页
Medical Journal of Chinese People’s Health
关键词
主动脉夹层
目标导向理论护理
用药依从性
并发症
Aortic dissection
Goal-oriented theoretical nursing
Medication compliance
Complication
作者简介
刘媛(1992.04-),女,汉族,河南南阳人,本科,护师,研究方向为主动脉夹层术后、不停跳冠状动脉旁路移植术后护理。
