五步式叙事护理在蛛网膜下腔出血患者行静脉输液治疗中的应用  

Application offive-step narrative nursing in intravenous infusion for patients with subarachnoid hemorrhage

作　　者：周燕萍[1] 沈洁 范蓉[1] 范丽婷 ZHOU Yanping;SHEN Jie;FAN Rong;FAN Liting(Yixing People's Hospital,Wuxi,Jiangsu,214200,China)

机构地区：[1]宜兴市人民医院,江苏无锡214200

出　　处：《中西医结合护理(中英文)》2024年第11期13-16,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨五步式叙事护理在蛛网膜下腔出血患者行改良三向瓣膜式中长导管静脉输液治疗中的应用。方法选择2022年1月至2023年5月在宜兴市人民医院接受治疗的58例蛛网膜下腔出血患者,参照随机信封法分为观察组(29例)和对照组(29例),对照组给予常规护理,观察组给予五步式叙事护理。比较2组的免疫球蛋白、神经因子、炎症因子水平及不良事件发生情况。结果干预2周及1个月后,2组的血清多巴胺、脑源性神经营养因子、免疫球蛋白M及免疫球蛋白G水平均高于干预前,C反应蛋白和白介素-6水平均低于干预前(P均<0.05),且观察组的神经因子、免疫球蛋白及炎症因子水平均优于同期对照组(P均<0.05)。组间比较不良事件总发生率,结果为观察组较低(P<0.05)。结论五步式叙事护理能够有效改善行改良三向瓣膜式中长导管静脉输液治疗蛛网膜下腔出血患者的神经功能、免疫功能及炎症反应,减少不良事件的发生。Objective To explore the application of five-step narrative nursing in the intravenous infusion of medium-length catheter with modified three-way valve for patients with subarachnoid hemorrhage.Method Fifty-eight patients with subarachnoid hemorrhage who received treatment at Yixing People's Hospital from January 2022 to May 2023 were included in the study.They were divided into an observation group(29 cases)and a control group(29 cases)using the random envelope method.The control group carried out routine nursing,while the observation group carried out five-step narrative nursing.The levels of immunoglobulins,neurofactors,inflammatory factors,and the incidence of adverse events of the two groups were compared.Results After 2 weeks and 1 month of intervention,the levels of serum dopamine,brain-derived neurotrophic factor,immunoglobulin M,and immunoglobulin G in both groups were higher than those before intervention,and the levels of C-reactive protein and interleukin-6 were lower than those before intervention(all P<0.05).The levels of neurofactors,immunoglobulins,and inflammatory factors in the observation group were better than those in the control group(all P<0.05).The total incidence of adverse events was compared between the two groups,and the result showed that the observation group had a lower incidence(P<0.05).Conclusion The five-step narrative nursing can effectively improve the neurological function,immune function,and inflammatory response of subarachnoid hemorrhage patients treated with intravenous infusion of medium-length catheter with modified three-way valve,and reduce the occurrence of adverse events.

关 键 词：蛛网膜下腔出血 改良三向瓣膜 中长导管 五步式叙事护理 免疫功能 

分 类 号：R473.6[医药卫生—护理学]