个体化护理结合快速康复理念应用于动脉瘤介入栓塞术后的临床效果观察  

Clinical effect observation of individualized nursing combined with rapid rehabilitation concept applied to aneurysm interventional embolization

作　　者：李小群 王小玉 何卫娥[2] LI Xiaoqun;WANG Xiaoyu;HE Weie(Ward of the First Department of Neurology,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Clinical Nursing Teaching and Research Section,the Second Xiangya Hospital of Central South University,Changsha410011,China)

机构地区：[1]中南大学湘雅二医院神经外一科病区,湖南长沙410011 [2]中南大学湘雅二医院临床护理教研室,湖南长沙410011

出　　处：《中国现代医生》2021年第25期173-175,179,共4页China Modern Doctor

摘　　要：目的 观察个体化护理结合快速康复理念应用于动脉瘤介入栓塞术后的临床效果。方法 选择我院2018年1月至2019年12月行动脉瘤介入栓塞术患者60例进行临床研究,按照随机数字表法将其分为观察组与对照组,每组各30例。对照组患者在常规护理基础上给予快速康复理念护理。观察组在对照组护理方案基础上给予个体化护理。比较两组患者术后格拉斯哥昏迷评分(GCS)、出院时格拉斯哥预后评分(GOS)及术后3个月的日常生活能力量表(BI值)及术后并发症的发生率。结果 观察组患者术后GCS评分为(7.52±1.29)分、出院时GOS评分为(4.11±0.52)分、BI值为(62.53±9.29)分,均高于对照组的(6.14±1.33)分、(2.91±0.73)分及(42.55±9.86)分,差异有统计学意义(P<0.05);观察组术后并发症发生率为6.66%,明显低于对照组的26.66%,差异有统计学意义(P<0.05)。结论 个体化护理结合快速康复理念能够降低动脉瘤介入栓塞术后患者并发症的发生率,改善患者的生存状态,具有重要的临床应用价值。Objective To observe the clinical effect of individualized nursing combined with rapid rehabilitation concept applied to aneurysm interventional embolization.Methods A total of 60 patients from January 2018 to December 2019 undergoing interventional embolization of aneurysms in our hospital were selected for clinical research.They were randomly divided into the observation group and the control group based on random number table method,with 30 cases in each group.Patients in the control group were given rapid rehabilitation concept nursing on the basis of conventional nursing.The observation group was given individualized nursing on the basis of the nursing plan of the control group.The Glasgow Coma Scale(GCS),Glasgow Prognosis Scale(GOS)at discharge,the daily life ability scale(BI value)3 months after operation and the incidence of postoperative complications were compared between the two groups.Results The postoperative GCS score,GOS score and BI score in the observation group were(7.52±1.29)points,(4.11±0.52)points and(62.53±9.29)points,respectively,which were all higher than those in the control group(6.14±1.33)points,(2.91±0.73)points and(42.55±9.86)points,respectively,with statistical differences(P<0.05).The incidence of postoperative complications was 6.66%in the observation group,which was significantly lower than that in the control group(26.66%),with statistical difference(P<0.05).Conclusion Individualized nursing combined with the concept of rapid rehabilitation can reduce the incidence of complications and improve the survival status of patients after aneurysm interventional embolization,which has important clinical application value.

关 键 词：个体化护理 快速康复护理 动脉瘤 介入栓塞术 

分 类 号：R473.6[医药卫生—护理学]