摘要
目的探讨同伴参与式护理在脑动脉瘤患者栓塞治疗中的护理效果及其对医学应对方式的影响。方法回顾性选择2018年5月至2020年1月湖北省钟祥市人民医院收治的脑动脉瘤患者96例为对象,所有患者均给予栓塞治疗,根据护理方法不同分为两组,每组各48例。对照组采用常规护理,观察组在对照组基础上联合同伴参与式护理,比较两组医学应对方式、日常生活能力评价量表(ADL)评分、并发症发生率及满意度。结果观察组护理后7 d,面对评分及ADL评分高于对照组,回避及屈服评分低于对照组,差异有统计学意义(P<0.05);观察组护理后肺部感染、动脉瘤出血破裂及烟瘘发生率均低于对照组,差异有统计学意义(P<0.05);护理后7 d观察组护理方法、护理效果及护理内容满意度高于对照组,差异有统计学意义(P<0.05)。结论同伴参与式护理用于脑动脉瘤患者栓塞治疗中能提高患者医学应对方式及日常生活能力,有助于降低并发症发生率,提高护理满意度,值得推广应用。
Objective To investigate the nursing effect of peer participatory nursing in the treatment of occlusion in patients with cerebral aneurysm and its impacts on medical coping modes.Methods A total of 96 patients with cerebral aneurysm who were admitted to the Zhongxiang People's Hospital from May 2018 to January 2020 were selected retrospectively as the objects,and all the patients were given occlusion treatment.They were divided into two groups according to the difference of nursing methods,with 48 patients in each group.The control group was given conventional nursing,and the observation group was given peer participatory nursing on the basis of the control group.The medical coping modes,scores of the Activity of Daily Living Scale(ADL),complications rate and satisfaction were compared between the two groups.Results The scores of facing and ADL in the observation group were higher than those in the control group after 7 days of nursing,with statistically significant differences(P<0.05).Meanwhile,the scores of avoidance and surrender in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After nursing,the incidences of pulmonary infection,hemorrhage and rupture of aneurysm and pharyngeal fistula in the observation group were all lower than those in the control group after nursing,with statistically significant differences(P<0.05).Patients'satisfaction with nursing methods,nursing effect and nursing content in the observation group were higher than those of the control group after 7 days of nursing,with statistically significant differences(P<0.05).Conclusion The application of peer participatory nursing in the treatment of occlusion in patients with cerebral aneurysm can improve the medical coping modes and ADL of patients,help to reduce the incidence of complications and increase the nursing satisfaction,which is worthy of promotion and application.
作者
从雯
李亚琴
CONG Wen;LI Yaqin(Department of Pediatrics,Zhongxiang People's Hospital,Hubei,Zhongxiang 431900,China;DepartmentⅢof Neurology,Zhongxiang People's Hospital,Hubei,Zhongxiang 431900,China)
出处
《中国医药科学》
2021年第14期127-130,共4页
China Medicine And Pharmacy
关键词
同伴参与式护理
脑动脉瘤
栓塞治疗
护理效果
医学应对方式
并发症
满意度
Peer participatory nursing
Cerebral aneurysm
Occlusion treatment
Nursing effect
Medical coping modes
Complications
Satisfaction
