综合护理干预在脑血管造影术中的应用效果分析
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摘要
目的:探讨综合护理干预在脑血管造影术中的应用效果。方法:选取2014年1月-2016年12月于笔者所在医院行DSA检查的90例患者为研究对象,采用数字随机表法将其分为观察组和对照组,各45例,在围手术期对照组实施常规护理,观察组患者在对照组基础上实施综合护理干预,对两组患者的术前SAS评分、护理满意度、并发症发生率进行综合比较分析。结果:护理干预后,观察组患者术前SAS评分为(43.45±9.97)分,明显低于对照组的(62.13±10.09)分,比较差异有统计学意义(P<0.05);观察组患者护理满意度为95.56%,明显高于对照组的77.78%,比较差异有统计学意义(P<0.05);观察组患者术后发生穿刺处血肿、尿潴留、腰背疼痛等并发症的发生率均明显低于对照组,比较差异均有统计学意义(P<0.05)。结论:在脑血管造影术中采用综合护理干预,能够有效缓解患者术前焦虑情绪,降低术后并发症的发生率,对提高护理效果具有重要意义。
Objective:To explore the application effect of comprehensive nursing intervention in cerebral angiography.Method:From January 2014 to December 2017,90 patients with cerebral angiography who underwent DSA in our hospital were enrolled in this study and divided into observation group and control group by digital random table method,45 cases each. In the perioperative period,the control group received routine nursing,the observation group were given comprehensive nursing intervention on the basis of the control group.The preoperative SAS score,nursing satisfaction and the incidence of complications in the two groups were compared and analyzed comprehensively.Result:After nursing intervention, the SAS score of the observation group was(43.45±9.97)points,which was significantly lower than that of the control group(62.13±10.09)points,the difference was statistically significant(P<0.05).The satisfaction degree of nursing in the observation group was 95.56%,which was significantly higher than that of the control group(77.78%),the difference was statistically significant(P<0.05).The incidence of postoperative complications such as hematoma,urinary retention and low back pain in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention in cerebral angiography can effectively relieve preoperative anxiety and reduce the incidence of postoperative complications,which is of great significance to improve the nursing effect.
Objective:To explore the application effect of comprehensive nursing intervention in cerebral angiography.Method:From January 2014 to December 2017,90 patients with cerebral angiography who underwent DSA in our hospital were enrolled in this study and divided into observation group and control group by digital random table method,45 cases each. In the perioperative period,the control group received routine nursing,the observation group were given comprehensive nursing intervention on the basis of the control group.The preoperative SAS score,nursing satisfaction and the incidence of complications in the two groups were compared and analyzed comprehensively.Result:After nursing intervention, the SAS score of the observation group was(43.45±9.97)points,which was significantly lower than that of the control group(62.13±10.09)points,the difference was statistically significant(P<0.05).The satisfaction degree of nursing in the observation group was 95.56%,which was significantly higher than that of the control group(77.78%),the difference was statistically significant(P<0.05).The incidence of postoperative complications such as hematoma,urinary retention and low back pain in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Comprehensive nursing intervention in cerebral angiography can effectively relieve preoperative anxiety and reduce the incidence of postoperative complications,which is of great significance to improve the nursing effect.
引文
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[6]刘玉涛.缺血性脑血管病患者介入治疗前后的影像学评估研究[J].中国实用神经疾病杂志,2016,19(11):42-44.
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[8]张清华.全程护理干预对脑血管造影术后患者并发症的影响[J].中国实用神经疾病杂志,2015,18(12):121-123.
[9]颜玉贤,蔡传钢,梁喜芳,等.改良全程护理干预在全脑血管造影患者的中的应用[J].中华现代护理杂志,2012,18(26):3153-3155.
[10]刘宁.全程护理干预对脑血管造影病人的影响[J].全科护理,2012,10(33):3103-3104.
[11]方传勤,李敬诚,杨清武.脑血管造影及介入治疗后假性动脉瘤形成的原因及治疗[J].重庆医学,2008,37(18):2035-2037.
[12]贾玉华.护理心理干预在全脑血管造影术中的应用价值[J].航空航天医学杂志,2015,26(10):1272-1273.
[2]李培培,彭俊阳,姚建华.颈动脉狭窄与脑梗死发生的相关性分析及干预措施[J].中国实验诊断学杂志,2016,20(4):691-694.
[3]马廉亭,潘力.脑血管造影仍是诊断脑血管病的金标准[J].中国现代神经疾病杂志,2007,7(5):413-415.
[4]马双喜.急性脑梗死与颈动脉硬化斑块的相关性分析[J].中国实用神经疾病杂志,2016,19(17):86-87.
[5]郑一兵.CTA与DSA在诊断脑动脉狭窄病变的临床价值分析[J].医学影像学杂志,2013,23(4):602-604.
[6]刘玉涛.缺血性脑血管病患者介入治疗前后的影像学评估研究[J].中国实用神经疾病杂志,2016,19(11):42-44.
[7]钟有安,肖开敏,钟良.数字减影全脑血管造影术后并发症及其相关因素的研究进展[J].微创医学,2011,6(6):561-564.
[8]张清华.全程护理干预对脑血管造影术后患者并发症的影响[J].中国实用神经疾病杂志,2015,18(12):121-123.
[9]颜玉贤,蔡传钢,梁喜芳,等.改良全程护理干预在全脑血管造影患者的中的应用[J].中华现代护理杂志,2012,18(26):3153-3155.
[10]刘宁.全程护理干预对脑血管造影病人的影响[J].全科护理,2012,10(33):3103-3104.
[11]方传勤,李敬诚,杨清武.脑血管造影及介入治疗后假性动脉瘤形成的原因及治疗[J].重庆医学,2008,37(18):2035-2037.
[12]贾玉华.护理心理干预在全脑血管造影术中的应用价值[J].航空航天医学杂志,2015,26(10):1272-1273.