风险干预模式在颅内动脉瘤介入栓塞患者中的应用效果  

Application effect of risk intervention mode in patients with intracranial aneurysm interventional embolization

作　　者：古彦 张玲霞[1] GU Yan;ZHANG Lingxia(Department of Neurosurgery,Nanjing Frist HospitalNanjing Frist Hospital,Nanjing Medical University,Jiangsu Province,Nanjing 210000,China)

机构地区：[1]南京医科大学附属南京医院,南京市第一医院神经外科,江苏南京210000

出　　处：《中国医药导报》2024年第11期156-159,共4页China Medical Herald

基　　金：江苏省高校优势学科建设工程项目(YSHL0203-02)。

摘　　要：目的探讨风险护理干预模式在颅内动脉瘤介入栓塞患者中的应用效果。方法选择2021年1月至2022年12月南京医科大学附属南京医院收治的86例颅内动脉瘤行介入栓塞治疗患者,根据随机数字表法将其分为对照组和研究组,各43例。对照组行常规护理,研究组在对照组的基础上予以风险护理干预。观察两组并发症发生情况、患者应对方式和生活质量。两组均持续干预1周,术后随访3个月。结果研究组并发症总发生率低于对照组(P<0.05);干预后,两组回避、屈服维度评分均低于干预前,面对维度评分均高于干预前,且研究组回避、屈服维度评分低于对照组,面对维度评分高于对照组(P<0.05)。干预后,两组世界卫生组织生活质量-100量表评分高于干预前,且研究组高于对照组(P<0.05)。结论风险护理干预模式能够减少颅内动脉瘤行介入栓塞治疗患者并发症,改善疾病应对方式及生活质量。Objective To explore the application effect of risk nursing intervention mode in patients with intracranial aneurysm interventional embolization.Methods A total of 86 patients with intracranial aneurysms who underwent interventional embolization from January 2021 to December 2022 in Nanjing First Hospital,Nanjing Medical University were selected and they were divided into control group and study group according to random number table method,with 43 cases in each group.The control group received routine nursing,and the sutdy group received risk nursing intervention based on the control group.The occurrence of complications,coping style,and quality of life of patients in the two groups were observed.Both groups were treated for one week and followed up for three months.Results The total complication rate of study group was lower than that of control group(P<0.05).After intervention,the scores of avoidance and yield dimension in the two groups were lower than those before intervention,and the scores of face dimension were higher than those before intervention,and the scores of avoidance and yield dimension in the study group were lower than control group,and the scores of face dimension in the study group were higher than control group(P<0.05).After intervention,the scores of the World Health Organization quality of life-100 scale in the two groups were higher than those before intervention,and those in the study group were higher than those in the control group(P<0.05).Conclusion Risk nursing can reduce complications and improve disease coping style and quality of life in patients with intracranial aneurysm undergoing interventional embolization.

关 键 词：风险评估 颅内动脉瘤 栓塞术 应对方式 

分 类 号：R473.5[医药卫生—护理学]