医护一体化护理在脑血管狭窄支架介入治疗中的效果观察  

Observation on the Effect of Integrated Nursing in Stent Interventional Treatment of Cerebrovascular Stenosis

作　　者：苏迎新 SU Yingxin(Department of Imaging,Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属中山医院影像科,厦门361000

出　　处：《中国医药指南》2024年第20期90-93,共4页Guide of China Medicine

摘　　要：目的分析脑血管狭窄支架介入治疗期间应用医护一体化护理的临床效果。方法选取2020年5月至2022年5月我院收治的180例脑血管狭窄支架介入治疗患者,随机数字表法将患者分为观察组(90例,采用医护一体化护理)和对照组(90例,采用常规护理),统计两组患者干预前后神经功能、运动功能、睡眠质量、不良心理、生活质量水平改善情况以及并发症(脑出血、脑过度灌注综合征、脑栓塞、穿刺部位并发症)发生率。结果两组护理前神经功能、运动功能、睡眠质量、不良心理、生活质量评分相比无差异(P>0.05),护理后观察组神经功能、运动功能、睡眠质量、不良心理、生活质量评分改善均优于对照组(均P<0.05),观察组脑出血、脑过度灌注综合征、脑栓塞、穿刺部位并发症等并发症总发生率低于对照组(P<0.05)。结论脑血管狭窄支架介入治疗期间实施医护一体化护理方案具有良好的效果,能有效改善患者神经功能、运动功能,减轻患者焦虑抑郁等不良心理,提升患者的睡眠质量,减少并发症发生,进而综合提升患者的生活质量。Objective To analyze the clinical effect of integrated nursing care during stent interventional therapy for cerebrovascular stenosis.Methods A total of 180 patients receiving stent interventional therapy for cerebrovascular stenosis in our hospital from May 2020 to May 2022 were selected and randomly divided into observation group(90 cases,using integrated nursing care)and control group(90 cases,using conventional nursing care).The improvement of neurological function,motor function,sleep quality,adverse psychology,quality of life and the incidence of complications(cerebral hemorrhage,cerebral hyperperfusion syndrome,cerebral embolism,puncture site complications)before and after intervention were analyzed in the two groups.Results Neurological function,motor function,sleep quality,adverse psychology and quality of life scores were not different between the two groups before nursing(P>0.05),after nursing,the neurological function,motor function,sleep quality,adverse psychology and quality of life scores in the observation group were better than those in the control group(P<0.05),and the incidence of complications such as cerebral hemorrhage,cerebral hyperperfusion syndrome,cerebral embolism and puncture site complications in the observation group were lower than those in the control group(P<0.05).Conclusions The implementation of the integrated nursing program during the interventional treatment of cerebrovascular stenosis has a good effect,which can effectively improve the neurological function and motor function of patients,reduce the adverse psychological effects of anxiety and depression,improve the sleep quality of patients,reduce the occurrence of complications,and then comprehensively improve the quality of life of patients.

关 键 词：脑血管狭窄 支架介入治疗 医护一体化护理 

分 类 号：R743[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]