精准干预改善颅内动脉瘤介入栓塞术患者心理及睡眠质量的效果研究  

Effect of Perioperative Precise Nursing on Psychological Status and Sleep Quality of Patients with Intracranial Aneurysm Undergoing Interventional Embolization

作　　者：许丽妹 郑丽丹 XU Limei;ZHENG Lidan(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第4期866-868,872,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨围术期精准干预对颅内动脉瘤介入栓塞手术患者心理状况及睡眠质量的应用效果。方法:选取2022年1月至2023年4月期间厦门大学附属第一医院收治的颅内动脉瘤介入栓塞术患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组40例。对照组围术期接受常规护理,观察组围术期接受精准干预,比较2组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分,肿瘤坏死因子α(TNF-α)、脑髓鞘碱性蛋白(MBP)、缺血修饰白蛋白(IMA)水平、并发症及匹兹堡睡眠质量指数(PSQI)评分。结果:干预后,观察组SDS、SAS、PSQI评分低于对照组,差异有统计学意义(P<0.05);观察组TNF-α、MBP、IMA水平低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(5.00%)显著低于对照组(35.00%),差异有统计学意义(P<0.05);观察组的睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。结论:围术期精准干预能稳定颅内动脉瘤介入栓塞手术患者自身情绪状态,有利于协助调控血清指标,改善患者睡眠质量,并在防控并发症方面也有积极意义。Objective:To explore the application effect of precise perioperative intervention on the psychological status and sleep quality of patients undergoing interventional embolization surgery for intracranial aneurysms.Methods:A total of 80 patients with intracranial aneurysms who underwent interventional embolization at the First Affiliated Hospital of Xiamen University between January 2022 and April 2023 were selected as the study subjects.They were randomly divided into a control group(receiving routine nursing care during the perioperative period)and an observation group(receiving precise intervention during the perioperative period),with 40 patients in each group.The Self Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)scores,and tumor necrosis factor(TNF)scores of the two groups were compared-α(TNF-α)、Brain myelin essential protein(MBP),ischemic modified albumin(IMA)levels and complications,as well as Pittsburgh sleep quality index(PSQI)scores.Results:After intervention,the SDS,SAS,and PSQI scores of the observation group were lower than those of the control group(P<0.05);Observation group TNF-α、The levels of MBP and IMA were lower than those of the control group(P<0.05).The incidence of complications in the observation group(5.00%)was significantly lower than that in the control group(35.00%),and the difference was statistically significant(P<0.05).The sleep quality score of the observation group was lower than that of the control group(P<0.05).Conclusion:Precise perioperative intervention can stabilize the emotional state of patients undergoing intracranial aneurysm embolization surgery,assist in regulating serum indicators,improve patient sleep quality,and have positive significance in preventing and controlling complications.

关 键 词：颅内动脉瘤 介入栓塞手术 围术期 精准干预 护理 心理 睡眠质量 脑髓鞘碱性蛋白 

分 类 号：R691.9[医药卫生—泌尿科学] R338.63[医药卫生—外科学]