血管封堵器结合基于SCL-90心理测评的护理在脑血管支架植入术患者中的效果  

Application of vascular occluder combined with nursing based on SCL-90 psychological evaluation in patients with cerebral vascular stent implantation

作　　者：于生芳 邵祥忠 周亚清 顾永梅 周小燕 YU Sheng-fang;SHAO Xiang-zhong;ZHOU Ya-qing(Department of Critical Care Medicine,Hai'an Hospital affiliated to Nantong University,Nantong 226600,China)

机构地区：[1]南通大学附属海安医院重症医学科,江苏南通226600 [2]南通大学附属海安医院神经内科,江苏南通226600

出　　处：《中国医学装备》2021年第12期135-138,共4页China Medical Equipment

基　　金：江苏省南通市科技项目(CYP2C19)“基因多态性在海安地区的分布特征及对动脉粥样硬化性脑梗死抗血小板聚集治疗的影响”。

摘　　要：目的:探究血管封堵器结合基于90项症状自评量表(SCL-90)心理测评的护理在脑血管支架植入术患者中的应用效果。方法:选取医院收治的行脑血管支架植入术的60例脑血管狭窄患者,采用随机数表法将其分为观察组和对照组,每组30例,对照组使用血管封堵器止血护理,观察组使用血管封堵器结合基于SCL-90心理测评的护理。比较两组患者干预前后SCL-90量表的恐惧、抑郁、焦虑、人际关系敏感、躯体化症状、精神病性、敌对、强迫和偏执9个分量表评分,术后止血时间、平卧时间、止血成功率以及临床护理满意度。结果:观察组干预后9个分量表评分均低于干预前,差异有统计学意义(t=3.448,t=2.542,t=3.587,t=2.367,t=3.002,t=1.610,t=2.183,t=2.046,t=2.239;P<0.05),而对照组仅“恐惧”一项评分干预前后差异有统计学意义(t=2.435,P<0.05),两组患者止血时间、平卧时间及止血成功率比较,差异无统计学意义(t=0.450,t=0.344,t=1.017;P>0.05)。观察组的护理满意度(96.67%)明显高于对照组(80.00%),差异有统计学意义(χ^(2)=4.043,P<0.05)。结论:血管封堵器结合基于SCL-90心理测评的护理可有效降低脑血管支架植入术患者的SCL-90评分,提升护理满意度。Objective:To explore the application effect of vascular occlusion device combined with nursing based on the Symptom Self-rating Scale(SCL-90)psychological evaluation in patients with cerebral vascular stent implantation.Methods:Sixty patients with cerebral vascular stenosis who underwent cerebrovascular stent implantation in the hospital were selected and divided into observation group(30 cases)and control group(30 cases)according to the random number table method.The control group used vascular occluder for hemostasis nursing,the observation group used vascular occluder combined with nursing based on SCL-90 psychological evaluation.The 9 subscale scores of the SCL-90 scale before and after intervention,including fear,depression,anxiety,interpersonal sensitivity,somatization symptoms,psychosis,hostility,obsessiveness and paranoia,and postoperative hemostasis time,supine time,hemostasis success rate and clinical nursing satisfaction of the two groups were compared.Results:The 9 subscale scores of the observation group after intervention were all lower than before intervention,and the difference was statistically significant(t=3.448,t=2.542,t=3.587,t=2.367,t=3.002,t=1.610,t=2.183,t=2.046,t=2.239;P<0.05).There was no significant difference in hemostasis time,supine time and success rate of hemostasis between the two groups(t=0.450,t=0.344,t=1.017;P>0.05).The nursing satisfaction of the observation group(96.67%)was significantly higher than that of the control group(80.00%),and the difference was statistically significant(χ^(2)=4.043,P<0.05).Conclusion:The vascular occluder combined with nursing based on SCL-90 psychological evaluation can effectively reduce the score of SCL-90 in patients with cerebral vascular stent implantation and improve the nursing satisfaction.

关 键 词：血管封堵器 90项症状自评量表(SCL-90) 脑血管 支架植入术 

分 类 号：R473.54[医药卫生—护理学]