前瞻性精准护理策略对主动脉夹层动脉瘤手术患者的血压、疼痛及长期预后的影响  

Effect of Prospective Precision Nursing Strategies on Blood Pressure,Pain,and Long-Term Prognosis in Patients Undergoing Aortic Dissection Aneurysm Surgery

作　　者：张晓雅 孙明飞[1] 田苗苗 Zhang Xiaoya;Sun Mingfei;Tian Miaomiao(Department of Cardiovascular Surgery,The First Affiliated Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学第一附属医院心血管外科,开封475000

出　　处：《成都医学院学报》2025年第1期110-113,共4页Journal of Chengdu Medical College

基　　金：河南省医学科技攻关计划项目(No:SBGJ202302087)。

摘　　要：目的研究前瞻性精准护理策略对主动脉夹层动脉瘤(ADA)手术患者血压管理、疼痛缓解及长期预后的促进作用。方法选取2021年1月至2023年12月在河南大学第一附属医院诊治的109例ADA手术患者为研究对象,按照随机数字表法,分为对照组(常规护理策略,55例)和研究组(前瞻性精准护理策略,54例),比较两组血压管理、疼痛、不良情绪缓解、长期预后和并发症发生情况。结果与干预前比较,两组干预后收缩压(SBP)、舒张压(DBP)降低(P<0.05),与对照组比较,研究组干预后SBP、DBP更低(P<0.05)。与干预前比较,两组干预后VAS、SDS、SAS评分降低(P<0.05);与对照组比较,研究组干预后VAS、SDS、SAS评分更低(P<0.05)。与干预前比较,两组干预后SF-36各维度(生理功能、生理职能、情感职能、躯体疼痛、精神健康、社会功能、一般健康状况、精力)评分升高(P<0.05);与对照组比较,研究组干预后SF-36各维度评分更高(P<0.05)。研究组总并发症发生率(5.56%)比对照组(25.45%)更低(P<0.05)。结论前瞻性精准护理策略应用于ADA手术患者,可控制血压,减轻疼痛,缓解不良情绪,提高生活质量,降低并发症。Objective To investigate the promoting effect of prospective precision nursing strategies on the blood pressure management,pain relief,and long-term prognosis in patients undergoing aortic dissection aneurysm(ADA)surgery.Methods A total of 109 patients who underwent ADA surgery in the First Affiliated Hospital of Henan University from January 2021 to December 2023 were selected and divided into a control group(intervened with routine nursing strategy,n=55)and an experimental group(intervened with prospective precision nursing strategy,n=54)using a random number table method.Blood pressure management,pain and emotional relief,long-term prognosis,and complications were compared between the two groups.Results After intervention,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)in both groups were lower than those before intervention(P<0.05),and the above indicators in the experimental group were lower than those in the control group(P<0.05).After intervention,the Visual Analogue Scale(VAS),Self-rating Depression Scale(SDS),and Self-rating Anxiety Scale(SAS)scores in both groups were lower than those before intervention(P<0.05),and the above indicators in the experimental group were lower than those in the control group(P<0.05).After intervention,the scores of SF-36 in all dimensions(physical functioning,role-physical,role-emotional,bodily pain,mental health,social functioning,general health,vitality)in both groups increased compared with those before intervention,and the above indicators in the experimental group were higher than those in the control group(P<0.05).The total incidence of complications in the experimental group(5.56%)was lower than that in the control group(25.45%)(P<0.05).Conclusion Prospective precision nursing strategies applied to patients undergoing ADA surgery can control blood pressure,alleviate pain,alleviate negative emotions,improve quality of life,and reduce complications.

关 键 词：前瞻性精准护理策略 主动脉夹层动脉瘤 血压管理 疼痛缓解 长期预后 

分 类 号：R473.6[医药卫生—护理学]