血管内介入栓塞术治疗颅内动脉瘤患者的围术期综合护理
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摘要
目的:探讨血管内介入栓塞术治疗颅内动脉瘤患者的围术期综合护理方法及效果。方法:将80例颅内动脉瘤行血管内介入栓塞手术患者随机分成对照组和观察组各40例,对照组给予神经外科常规护理,观察组在此基础上给予围术期综合护理,比较两组护理效果。结果:观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05),生活质量评分高于对照组(P<0.05),中重度疼痛率低于对照组(P<0.05)。结论:对颅内动脉瘤行血管内介入栓塞手术治疗患者实施围术期综合护理,能够缓解负性情绪,提高患者生活质量。
Objective:To explore the perioperative nursing method of endovascular embolization for patients with intracranial aneurysms.Methods:A total of 80 cases of patients with intracranial aneurysms undergoing endovvascular embolization were randomly divided into experimental group and control group,40 cases each group.Patients in the experimental group received perioperative multiple nursing,and patients in the control group received routine nursing.Self-rating anxiety score,self-rating depression score,pain scores and quality of life score were compared between the two groups.Results:Compared with the control group,the self-rating anxiety score and self-rating depression score were lower(P<0.05),and the quality of life score was higher in the experimental group(P<0.05).The moderate pain score decreased in the experimental group(P<0.05).Conclusion:Perioperative multiple nursing of endovascular embolization for patients with intracranial aneurysms could relieve their negative emotions and increase the quality of life.
Objective:To explore the perioperative nursing method of endovascular embolization for patients with intracranial aneurysms.Methods:A total of 80 cases of patients with intracranial aneurysms undergoing endovvascular embolization were randomly divided into experimental group and control group,40 cases each group.Patients in the experimental group received perioperative multiple nursing,and patients in the control group received routine nursing.Self-rating anxiety score,self-rating depression score,pain scores and quality of life score were compared between the two groups.Results:Compared with the control group,the self-rating anxiety score and self-rating depression score were lower(P<0.05),and the quality of life score was higher in the experimental group(P<0.05).The moderate pain score decreased in the experimental group(P<0.05).Conclusion:Perioperative multiple nursing of endovascular embolization for patients with intracranial aneurysms could relieve their negative emotions and increase the quality of life.
引文
[1] 孟广丽,王翠香.循证护理对颅内动脉瘤患者介入栓塞术后并发症、心理状态及预后的影响[J].中华现代护理杂志,2018,24(23):2772-2776.
[2] 袁巧玲,马瑞英.未破裂颅内动脉瘤介入术围术期护理质量评价指标的构建[J].中华现代护理杂志,2018,24(20):2401-2404.
[3] 陈桂蓉,符代雪,邱琴.结构式心理护理对行介入栓塞术治疗颅内动脉瘤患者疾病不确定感和预后的影响[J].中国健康心理学杂志,2018,26(9):1341-1345.
[4] 陈美美,杨育,陈蓓妮,等.临床路径护理对动脉瘤性蛛网膜下腔出血介入手术病人快速康复的效果评价[J].中国微侵袭神经外科杂志,2018,23(10):479-480.
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[6] 吕娇,黄静.综合护理干预对颅内动脉瘤血管内介入栓塞术的临床疗效及生活质量评分的影响分析[J].中国实用医药,2018,13(2):195-196.
[7] 马晓璐.1例颅内动脉瘤破裂致蛛网膜下隙出血患者的急诊介入治疗及护理[J].中国实用护理杂志,2014,30(z1):130.
[8] 张纯,冯娟娟,李倩,等.经颈动脉插管行弹簧圈栓塞右侧颈内动脉眼动脉段动脉瘤+支架置入术1例的护理[J].中国临床神经外科杂志,2018,23(12):819-820.
[9] 王丽静,乔玉娟,于晓波,等.颅内宽颈动脉瘤破裂介入手术患者术后并发症观察及护理[J].中华现代护理杂志,2013,19(10):1184-1186.
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[11] 童耀英,俞向荣,崔志敏.经血管内介入治疗颅内动脉瘤预防手术并发症的护理体会[J].中国微创外科杂志,2008,8(12):1151-1152.
[12] 高明春,葛小芳,刘霞,等.支架球囊辅助弹簧圈栓塞治疗颅内动脉瘤26例临床护理[J].齐鲁护理杂志,2011,17(30):26-27.
[13] 王福利,张卫青.护理计划单在动脉瘤蛛网膜下腔出血患者介入治疗前的应用[J].中国实用神经疾病杂志,2009,12(8):58-59.
[14] 谢春雷,李春霞,李爱文,等.放松训练辅助聆听音乐对介入治疗的颅内动脉瘤患者睡眠质量影响的效果评价[J].中国实用护理杂志,2008,24(9):4-7.
[15] 乐革芬,章凌华.颅内动脉瘤介入治疗后早期持续腰大池引流对脑血管痉挛的影响[J].齐鲁护理杂志,2012,18(8):15-16.
[2] 袁巧玲,马瑞英.未破裂颅内动脉瘤介入术围术期护理质量评价指标的构建[J].中华现代护理杂志,2018,24(20):2401-2404.
[3] 陈桂蓉,符代雪,邱琴.结构式心理护理对行介入栓塞术治疗颅内动脉瘤患者疾病不确定感和预后的影响[J].中国健康心理学杂志,2018,26(9):1341-1345.
[4] 陈美美,杨育,陈蓓妮,等.临床路径护理对动脉瘤性蛛网膜下腔出血介入手术病人快速康复的效果评价[J].中国微侵袭神经外科杂志,2018,23(10):479-480.
[5] 陈钰,邵波,滕灵方,等.延续护理对颅内动脉瘤介入栓塞术后患者生活能力和心理状态的影响[J].中国乡村医药,2017,24(11):67-68.
[6] 吕娇,黄静.综合护理干预对颅内动脉瘤血管内介入栓塞术的临床疗效及生活质量评分的影响分析[J].中国实用医药,2018,13(2):195-196.
[7] 马晓璐.1例颅内动脉瘤破裂致蛛网膜下隙出血患者的急诊介入治疗及护理[J].中国实用护理杂志,2014,30(z1):130.
[8] 张纯,冯娟娟,李倩,等.经颈动脉插管行弹簧圈栓塞右侧颈内动脉眼动脉段动脉瘤+支架置入术1例的护理[J].中国临床神经外科杂志,2018,23(12):819-820.
[9] 王丽静,乔玉娟,于晓波,等.颅内宽颈动脉瘤破裂介入手术患者术后并发症观察及护理[J].中华现代护理杂志,2013,19(10):1184-1186.
[10] 张建男,何亮.个性化护理干预在颅内动脉瘤介入栓塞术患者持续性头痛中的应用[J].中国康复理论与实践,2012,18(9):881-883.
[11] 童耀英,俞向荣,崔志敏.经血管内介入治疗颅内动脉瘤预防手术并发症的护理体会[J].中国微创外科杂志,2008,8(12):1151-1152.
[12] 高明春,葛小芳,刘霞,等.支架球囊辅助弹簧圈栓塞治疗颅内动脉瘤26例临床护理[J].齐鲁护理杂志,2011,17(30):26-27.
[13] 王福利,张卫青.护理计划单在动脉瘤蛛网膜下腔出血患者介入治疗前的应用[J].中国实用神经疾病杂志,2009,12(8):58-59.
[14] 谢春雷,李春霞,李爱文,等.放松训练辅助聆听音乐对介入治疗的颅内动脉瘤患者睡眠质量影响的效果评价[J].中国实用护理杂志,2008,24(9):4-7.
[15] 乐革芬,章凌华.颅内动脉瘤介入治疗后早期持续腰大池引流对脑血管痉挛的影响[J].齐鲁护理杂志,2012,18(8):15-16.