摘要
目的观察责任制护理在主动脉夹层动脉瘤患者介入治疗中的护理效果。方法选取2016年5月1日至2020年12月31日肇庆市第二人民医院心血管中心收治的主动脉夹层动脉瘤经介入治疗的50例患者作为研究对象。采用随机数字表将其分为观察组(25例)和对照组(25例)。观察组实施责任制护理:包括组建护理领导小组,术前和术后护理,出院指导及延续性护理等内容。对照组实施常规护理,对比两组患者焦虑自评量表评分(SAS评分)、疼痛数字评分法(NRS评分)、并发症发生率。两组护理时间均从患者入院后至出院后第一次回院复诊结束。结果两组患者实施护理前SAS评分、NRS评分比较,差异无统计学意义(P> 0.05),具有可比性。两组患者实施护理方案后,SAS评分、NRS评分均较护理前降低,差异有统计学意义(P <0.05)。实施责任制护理后观察组SAS评分(51.48±3.70)分低于对照组(71.64±5.52)分,差异有统计学意义(P <0.05)。观察组NRS评分(3.52±0.65)分低于对照组评分(6.00±0.76)分,差异有统计学意义(P <0.05)。观察组并发症总发生率(4%)低于对照组(32%),差异有统计学意义(P <0.05)。结论主动脉夹层动脉瘤经介入治疗的患者采用责任制护理,能够改善其焦虑情绪、缓解疼痛,降低并发症发生率,值得临床进一步推广应用。
Objective To observe the nursing effect of responsibility system nursing in interventional therapy of aortic dissecting aneurysm.Methods From May 1,2016 to December 31,2020,50 patients with aortic dissection aneurysm treated by interventional therapy were selected as the subjects.They were divided into observation group(25 cases)and control group(25 cases).The observation group was treated by the responsibility system nursing:including the establishment of nursing leadership group,preoperative and postoperative discharge guidance and continuous nursing out of hospital.The control group was treated by the routine nursing.The Self-rating Anxiety Scale(SAS)score,the Numeric Rating Scales(NRS)score and complication rate were compared between the two groups.The nursing time of the two groups was from the patient’s admission to the end of the first visit after discharge.Results There was no significant difference between the two groups in the SAS score and the NRS score before nursing(P>0.05),which was comparable.The SAS score and NRS score of the two groups were lower than those before nursing,and the difference was statistically significant(P<0.05).The SAS score(51.48±3.70)in the observation group was lower than that in the control group(71.64±5.52),the difference was statistically significant(P<0.05).The NRS score in the observation group(3.52±0.65)was lower than that in the control group(6.00±0.76),and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group(4%)was lower than that in the control group(32%),and the difference was statistically significant(P<0.05).Conclusion The patients with aortic dissection aneurysm which had been treated by interventional therapy have been treated by the responsibility system nursing,it can improve their anxiety,relieve pain,and reduce the incidence of complications,which is worthy of further clinical application.
作者
宗卫华
陈仪
赖晓凤
文带群
ZONG Weihua;CHEN Yi;LAI Xiaofeng;WEN Daiqun(Department of Cardiovascular Centre,the Second People's Hospital in Zhaoqing City of Guangdong Province,Zhaoqing 526060,China)
出处
《中国医药指南》
2021年第19期8-10,共3页
Guide of China Medicine
关键词
主动脉夹层动脉瘤
责任制护理
介入治疗
并发症
焦虑自评量表
疼痛数字评分
Aortic dissecting aneurysm
Responsibility system nursing
Interventional therapy
Complications
Self-rating Anxiety Scale
Numeric Rating Scales
