摘要
目的探讨护理风险评估单在颅内动脉瘤术后语言障碍患者中的应用效果。方法选取2015年1月至2019年3月间内商丘市第一人民医院收治的84例颅内动脉瘤手术后语言障碍患者,采用随机数字表法分为观察组和对照组,每组42例。两组患者均采用常规干预措施,在此基础上观察组患者使用护理风险评估单,比较两组患者临床疗效、治疗前后语言障碍评分、遵医行为和不良反应发生情况。结果观察组患者临床总有效率为92.9%,对照组为90.5%,差异有统计学意义(P<0.05)。治疗前,两组患者语言障碍评分比较,差异无统计学意义(P>0.05)。治疗后,两组患者语言障碍评分均升高,且观察组高于对照组,差异均有统计学意义(均P<0.05)。观察组患者饮食、服药、康复训练、定期检测血压和定期来院随访情况均优于对照组,差异均有统计学意义(均P<0.05)。观察组患者收缩压和脑血管痉挛持续时间均低于对照组,脑血管痉挛、再次颅内动脉瘤、压疮、吞咽功能障碍和跌倒/坠床并发症总发生率低于对照组,差异均有统计学意义(均P<0.05)。结论颅内动脉瘤术后语言障碍患者经护理风险评估单干预,可改善遵医行为,降低不良反应发生率,进而改善语言障碍,且不会对临床疗效产生明显影响。
Objective To explore the efficacy of usage of nursing risk assessment form in patients with postoperative speech disorder complicated with intracranial aneurysms.Methods Eighty-four patients with postoperative speech disorder complicated with intracranial aneurysms were enrolled in the study at Shangqiu First People’s Hospital from January 2015 to March 2019.The patients were divided into an observation group and a control group using the random number table method with 42 patients each.Conventional interventions were given to both groups,and moreover a nursing risk assessment form was used in the observation group.The clinical efficacy,the scores of language barriers before and after treatment,patients’compliance with doctors’advice and the incidence of adverse reactions were compared between the two groups.Results The overall clinical efficacy rate was 92.9%in the observation group and 90.5%in the control group(P<0.05).There was no significant difference in scores of language barriers between the two groups before the treatment(P>0.05).After the treatment,the scores of language barriers increased in both groups with the observation group higher than the control group(P<0.05).Diet,medication,rehabilitation training,regular blood pressure monitoring and regular follow-up were better in the observation group than in the control group(all P<0.05).Systolic pressure,duration of cerebral vasospasm was lower in the observation group than in the control group.The incidence of cerebral vasospasm,recurrent intracranial aneurysm,pressure sore,swallowing dysfunction and falling/falling off the bed was lower in the observation group than in the control group(all P<0.05).Conclusion Intervention based on nursing risk assessment form can improve patients’compliance with doctors’advice,reduce the incidence of adverse reactions and improve communication in patients with postoperative speech disorder complicated with intracranial aneurysms without obvious impact on clinical outcomes.
作者
王敬
李艳
张曼曼
WANG Jing;LI Yan;ZHANG Man-man(ICU,Shangqiu First People’s Hospital,Shangqiu 476000,China)
出处
《中国肿瘤临床与康复》
2020年第5期556-560,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
颅内动脉瘤
语言障碍
护理风险评估单
不良反应
Intracranial aneurysm
Language barrier
Nursing risk assessment form
Adverse reactions
