摘要
目的探讨颅内动脉瘤介入手术患者围手术期采用罗伊-纽曼综合模式干预的效果。方法选取2017年5月至2018年8月间陕西省韩城市人民医院收治的106例行颅内动脉瘤介入手术治疗的患者,采用随机数表法分为观察组和对照组,每组53例。对照组患者围手术期采用常规护理,观察组患者围手术期采用罗伊-纽曼综合模式,比较两组患者并发症发生情况和患者及家属心理状态的变化。结果两组患者术后均并发腹腔感染、尿潴留、脏器衰竭及切口感染。观察组患者术后并发症发生率为20.8%,低于对照组的54.7%,差异有统计学意义(P<0.05)。术后7天,两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于术前,且观察组家属评分均低于对照组,差异均有统计学意义(均P<0.05)。术后7天,两组患者家属SAS和SDS评分均低于术前,且观察组患者评分均低于对照组,差异均有统计学意义(均P<0.05)。结论颅内动脉瘤介入患者围手术期采用罗伊-纽曼综合模式干预,有利于降低术后并发症发生率,改善患者及家属的焦虑和抑郁情绪,有较高的临床价值。
Objective To analyze the efficacy of nursing based on Roy-Newman’s comprehensive model intervention in the perioperative period in patients undergoing interventional surgery for intracranial aneurysms.Methods A total of 106 patients who underwent intracranial aneurysm interventional surgery at Hancheng People’s Hospital from May 2017 to August 2018 were enrolled.Patients were randomly divided into an observation group and a control group by random number table method with 53 patients in each group.The observation group was given nursing based on Roy-Newman integrated model during the perioperative period and the control group was given routine care during the perioperative period.The incidence of complications and the changes in the psychological state of the patients and their families were compared between the two groups.Results Complications including abdominal infection,urinary retention,organ failure and wound infection occurred in both groups.The incidence of postoperative complications was 20.8%in the observation group which was significantly lower than 54.7%of the control group(P<0.05).The scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)decreased in patients and their families in both groups and they were significantly lower in the observation group than in the control group(all P<0.05).Conclusion The intervention based on Roy-Newman mode is is helpful to reduce the incidence of postoperative complications and anxiety and depression in patients and their families in patients undergoing interventional surgery for intracranial aneurysms.It has great clinical value.
作者
柴小艳
杨维
柴丽芳
CHAI Xiao-yan;YANG Wei;CHAI Li-fang(Department of Cardiology,Hancheng People's Hospital,Weinan 715400,China)
出处
《中国肿瘤临床与康复》
2020年第1期79-81,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
术后并发症
颅内动脉瘤
介入手术
围手术期
罗伊-纽曼综合模式
Postoperative complications
Intracranial aneurysms
Interventional surgery
Perioperative period
Roy-Newman integrated mode
