摘要
目的探讨基于患者需求的康复干预措施在脑动脉瘤介入术后患者中的应用效果。方法选取2021年9月至2023年4月首都医科大学附属北京康复医院收治的82例脑动脉瘤介入术后患者为研究对象,采用随机数字表法分为干预组与对照组,每组41例。对照组实施常规康复干预措施,干预组实施基于患者需求的康复干预措施,2组均干预至出院。比较2组干预前后神经功能恢复情况、负性情绪、生活能力,同时比较2组患者术后并发症发生情况及对护理工作满意度。结果干预后,2组神经功能缺损评分(NFI)均降低,且干预组低于对照组(P<0.05)。干预后,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均下降,且干预组低于对照组(P<0.05);干预后,2组日常生活活动能力量表(BI)评分均升高,且干预组高于对照组(P<0.05)。2组术后并发症发生率比较,差异无统计学意义(P>0.05)。干预组对护理满意度高于对照组(P<0.05)。结论应用基于患者需求的康复干预措施可有效改善脑动脉瘤介入术后患者神经功能缺损情况,改善负性情绪,提高生活能力及患者对护理工作满意度。
Objective To explore the application effect of rehabilitation interventions based on patient needs in patients with cerebral aneurysm treatment.Methods Eighty-two postoperative patients with cerebral aneurysms treatment in Beijing Rehabilitation Hospital,Capital Medical University from September 2021 to April 2023 were enrolled as the study subjects.They were randomly divided into control group(routine rehabilitation,n=41)and intervention group(rehabilitation interventions based on patient needs,n=41)using a random number table.Both groups were intervened until discharge.The recovery of neurological function,negative emotions,and ability to live before and after intervention were compared between the two groups,and the incidence of postoperative complications and nursing satisfaction were assessed.Results After the intervention,the Neurobehavioural Functioning Inventory(NFI),Self Rating Anxiety/Depression Scale(SAS/SDS)scores of both groups decreased significantly,and the intervention group was significantly lower than the control group(P<0.05).After intervention,the scores of the Barthel index(BI)in both groups increased,and the intervention group was higher than the control group(P<0.05).There was no statistical significant difference in the incidence of postoperative complications between the two groups(P>0.05).The intervention group showed higher nursing satisfaction than the control group(P<0.05).Conclusion The application of rehabilitation intervention based on patient needs can effectively improve the neurological deficits,negative emotions,life ability,and nursing satisfaction in patients after interventional surgery for cerebral aneurysms.
作者
姚菲
曹洪丽
王明虎
程丽娟
吴霞
YAO Fei;CAO Hongli;WANG Minghu(Department of Emergency,Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100043,China)
出处
《河北医药》
2024年第22期3501-3504,共4页
Hebei Medical Journal
基金
首都医科大学附属北京康复医院2022-2024年科研发展专项(编号:2022-071)。
关键词
脑动脉瘤
动脉瘤介入栓塞术
基于患者需求
神经功能
生活能力
cerebral aneurysm
interventional embolization of aneurysm
based on patient needs
neurological function
living ability
作者简介
通信作者:曹洪丽,E-mail:yfyf19866@163.com。
