基于Cox-IMCHB模式的综合护理联合生物反馈疗法对颅内动脉瘤介入栓塞术患者的影响  

Effect of integrated care based on Cox-IMCHB theory combined with biofeedback therapy in patients undergoing interventional embolisation of intracranial aneurysms

作　　者：张振 张燕 谷雪峰 Zhang Zhen;Zhang Yan;Gu Xuefeng(Department of Neurosurgery,Jinan Central Hospital,Jinan 250013,China;Department of Employee Medical Insurance Early Diagnosis and Treatment,Jinan Central Hospital,Jinan 250013,China)

机构地区：[1]I济南市中心医院神经外科,济南250013 [2]济南市中心医院职工医保早诊早治,济南250013

出　　处：《国际护理学杂志》2025年第4期663-668,共6页international journal of nursing

摘　　要：目的探讨基于Cox健康行为互动模式(Cox-IMCHB)的综合护理联合生物反馈疗法对颅内动脉瘤介入栓塞术患者的影响。方法选取2022年1~12月在济南市中心医院神经外科接受颅内动脉瘤介入栓塞术治疗的患者86例为研究对象,以患者入院顺序编号分为对照组和研究组各43例。对照组实施常规护理结合生物反馈疗法干预,研究组实施基于Cox-IMCHB模式的综合护理结合生物反馈疗法干预。比较两组干预前后心理状态、生理功能康复情况、并发症发生情况及对护理服务的满意度情况。结果干预后,研究组用汉密尔顿焦虑量表(HAMA)评分、美国国立卫生研究院卒中量表(NIHSS)评分均低于对照组[(7.36±1.14)分vs.(8.15±1.35)分;(20.62±2.15)分vs.(22.14±2.27)分],Herth希望指数(HHI)评分、肢体运动功能评分表(FMA)评分、洛文斯顿作业疗法认知评定量表(LOTCA)评分高于对照组[(38.49±3.27)分vs.(36.31±3.32)分;(77.62±5.29)分vs.(74.77±5.01)分;(92.73±5.63)分vs.(89.54±5.91)分],差异均有统计学意义(t=2.932、3.188、3.068、2.565、2.563,均P<0.05)。研究组总并发症发生率低于对照组[6.98%(3/43)vs.23.26%(10/43)],护理服务满意度高于对照组[97.67%(42/43)vs.83.72%(36/43)],差异均有统计学意义(χ^(2)=4.440、4.962,均P<0.05)。结论颅内动脉瘤介入栓塞术患者应用基于Cox-IMCHB模式的综合护理联合生物反馈疗法干预后,不仅心理状态、和生理功能有明显改善,且并发症发生风险降低,护理服务满意度较高。Objective To explore the effects of integrated nursing care based on Cox Interactive Model of Health Behaviour(Cox-IMCHB)theory combined with biofeedback therapy on patients undergoing interventional embolisation of intracranial aneurysm.Methods A total of 86 patients who underwent intracranial aneurysm interventional embolisation at the Department of Neurosurgery of Jinan Central Hospital from January to December 2022 were selected as the research objects.According to the admission order number,the patients were divided into the control group and the study group,with 43 cases in each group.The control group received routine nursing combined with biofeedback therapy intervention,while the study group received comprehensive nursing combined with biofeedback therapy intervention based on Cox-IMCHB model.The psychological state,physical function rehabilitation,complications and satisfaction with nursing services were compared between the two groups before and after intervention.Results After intervention,the scores of Hamilton Anxiety Scale(HAMA)and National Institutes of Health Stroke Scale(NIHSS)in the study group were lower than those in the control group[(7.36±1.14)points vs.(8.15±1.35)points,(20.62±2.15)points vs.(22.14±2.27)points],and the scores of Herth Hope Index(HHI),Fugl-Meyer Assessment Scale(FMA)and Lowenstein Occupational Therapy Cognitive Assessment Scale(LOTCA)in the study group were higher than those in the control group[(38.49±3.27)points vs.(36.31±3.32)points;(77.62±5.29)points vs.(74.77±5.01)points;(92.73±5.63)points vs.(89.54±5.91)points].And the differences were all statistically significant(t=2.932、3.188、3.068、2.565、2.563,P<0.05).The total incidence of complications in the study group was lower than that in the control group[6.98%(3/43)vs.23.26%(10/43)],and the satisfaction of nursing service in the study group was higher than that in the control group[97.67%(42/43)vs.83.72%(36/43)],and the differences were statistically significant(χ^(2)=4.440、4.962,P<0.05).Conclusions Pa

关 键 词：颅内动脉瘤介入栓塞术 Cox健康行为互动模式 综合护理 生物反馈疗法 

分 类 号：R47[医药卫生—护理学]