复杂颅内动脉瘤患者围手术期出血并发症的预防性护理干预研究  

Preventive nursing interventions for perioperative hemorrhage complications in patients with complex intracranial aneurysms

作　　者：孙方贞 梁婧婧 申云飞 赵静萱 王丽伟 刘云娥 SUN Fangzhen;LIANG Jingjing;SHEN Yunfei;ZHAO Jingxuan;WANG Liwei;LIU Yun’e(The PLA Rocket Force Featured Medical Center,Beijing 100088,China)

机构地区：[1]火箭军特色医学中心,北京100088

出　　处：《介入放射学杂志》2022年第1期91-94,共4页Journal of Interventional Radiology

摘　　要：目的探讨预防性护理干预在减少复杂颅内动脉瘤患者围手术期出血并发症中的应用效果。方法从2018年1月开始对行复合手术治疗的颅内复杂动脉瘤患者应用预防性护理干预方案,将此前应用常规护理的患者纳入对照组(n=22),将应用预防性护理干预方案的患者纳入干预组(n=22)。预防性护理干预方案包括实施风险评估与分级管理、预防性宣教、围手术期血压精细化管理、心理干预等措施。比较两组患者围手术期出血并发症发生率、患者知识掌握程度及患者满意度。结果实施预防性护理干预患者的知识掌握程度、满意度明显高于对照组(P<0.01),且并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论通过实施预防性护理干预,能够减少围手术期出血并发症发生,提高护理质量。Objective To discuss the effect of preventive nursing interventions on reducing perioperative hemorrhage complications in patients with complex intracranial aneurysms.Methods From January 2018 preventive nursing interventions were employed in patients with complex intracranial aneurysms who were scheduled to receive hybrid surgery.The patients who received conventional nursing care were enrolled in the control group(n=22),and the patients who received preventive nursing interventions were enrolled in the study group(n=22).The scheme of preventive nursing interventions included the risk assessment and grading management,preventive education,careful management of perioperative blood pressure,psychological interventions,etc.The incidence of perioperative bleeding complications,the extent of patient's mastery of relevant knowledge and the patient satisfaction with treatment were compared between the two groups.Results Both the extent of patient's mastery of relevant knowledge and the patient satisfaction with treatment in the study group were significantly better than those in the control group(P<0.01),besides,the incidence of perioperative bleeding complications in the study group was remarkably lower than that in the control group(P<0.05).Conclusion Preventive nursing interventions can reduce the incidence of perioperative hemorrhage complications and improve the nursing quality.(J Intervent Radiol,2022,31:91-94)

关 键 词：复杂颅内动脉瘤 复合手术 预防性护理干预 出血 

分 类 号：R473[医药卫生—护理学]