基于健康理念导向的全程护理模式对行覆膜支架置入治疗的主动脉夹层动脉瘤患者并发症发生率及负性情绪的影响  

Effects of health-oriented holistic nursing model on the incidence of complications and negative emotions in patients with aortic dissection aneurysms treated with covered stents

作　　者：王丹丹 耿思铭 贺海燕 WANG Dandan;GENG Siming;HE Haiyan(Disinfection and Supply Center,Chest Hospital of Henan Province,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院消毒供应中心,河南郑州450000

出　　处：《黑龙江医药科学》2025年第1期35-38,43,共5页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关联合共建项目,编号:LHGJ20209114。

摘　　要：目的:探讨基于健康理念导向的全程护理模式对行覆膜支架置入治疗的主动脉夹层动脉瘤(ADA)患者并发症发生率及负性情绪的影响。方法:选取2021年6月至2023年5月河南省胸科医院收治的86例ADA患者,按照建档顺序随机分为对照组(常规护理模式,43例)、观察组(基于健康理念导向的全程护理模式,43例)。比较干预前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、应对方式[简易应对方式量表(SCSQ)]、主观幸福感[总体幸福感量表(GWBS)]、治疗依从性、血压变化[舒张压(DBP)、收缩压(SBP)]及术后神经系统并发症发生率。结果:干预后,观察组HAMD、HAMA评分低于对照组(P<0.05);干预后,观察组积极应对评分高于对照组,消极应对评分低于对照组(P<0.05);干预后,观察组GWBS量表各维度评分高于对照组(P<0.05);干预后,观察组疾病认知、用药情况、情绪控制、治疗护理配合评分高于对照组(P<0.05);观察组术后神经系统并发症发生率6.98%与对照组13.95%比较无显著差异(P>0.05)。结论:基于健康理念导向的全程护理模式能改善ADA患者消极情绪,加强血压控制,提升其主观幸福感及治疗依从性,有利于患者采取积极应对方式。Objective:To explore the effect of health-oriented holistic nursing model on the incidence of complications and negative mood in patients with Aortic dissection dneurysm(ADA)after stent implantation.Methods:86 ADA patients admitted to Chest Hospital of Henan Province from June 2021 to May 2023 were selected and randomly divided into control group(receiving routine nursing care,n=43)and observation group(receiving health-oriented holistic nursing model,n=43),based on the order of their medical records establishment.The negative emotions[hamilton anxiety scale(HAMA),hamilton depression scale(HAMD)],coping styles[simplified coping style scale(SCSQ)],subjective well-being[general well-deing scale(GWBS)],treatment compliance,blood pressure changes[diastolic blood pressure(DBP),systolic blood pressure(SBP)]and the incidence of postoperative neurological complications were compared before and after intervention.Results:After intervention,the HAMD and HAMA scores of the observation group were lower than those of the control group(P<0.05).After intervention,the positive coping scores of the observation group were higher than those of the control group,and the negative coping scores were lower than those of the control group(P<0.05).After intervention,the scores of all dimensions on the GWBS scale in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of disease cognition,medication,emotion control and treatment and nursing coordination in observation group were higher than those in control group(P<0.05).There was no significant difference in the incidence of neurological complications between the observation group 6.98%and the control group 13.95%(P>0.05).Conclusion:Health-oriented holistic nursing model can improve negative emotions and blood pressure control in patients with ADA,enhance their subjective well-being and treatment compliance,and encourage patients to adopt positive coping strategies.

关 键 词：主动脉夹层动脉瘤 健康理念导向 全程护理模式 负性情绪 并发症 

分 类 号：R473[医药卫生—护理学]