摘要
目的:探讨基于个案管理的延伸护理干预模式在主动脉夹层(AD)术后患者中的应用效果。方法:回顾性分析2018年4月—2020年5月郑州大学第二附属医院收治的236例AD术后患者的临床资料,按入院先后顺序分为对照组和观察组,每组各118例。对照组采用常规护理,观察组采用基于个案管理的延伸护理干预模式,均连续干预3个月。比较两组患者干预前、干预3个月时自我护理能力[自我护理能力测定量表(ESCA)评分]、心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]评分,记录并对比两组患者并发症发生情况和护理满意度。结果:干预前,两组患者ESCA量表各维度评分比较,差异无统计学意义(t=1.189、1.185、1.077、0.799,P>0.05);干预后,两组患者ESCA量表各维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(t=9.556、17.567、12.450、15.560,P<0.05)。干预前,两组患者SAS、SDS评分比较,差异无统计学意义(t=1.101、0.038,P>0.05);干预后,两组患者SAS、SDS评分均降低,且观察组低于对照组,差异有统计学意义(t=13.800、12.734,P<0.05)。两组患者并发症发生情况比较,观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.159,P<0.05)。两组患者护理满意度比较,观察组护理满意度高于对照组,差异有统计学意义(χ^(2)=3.989,P<0.05)。结论:基于个案管理的延伸护理干预模式可提高AD术后患者自我护理能力,减轻患者消极情绪,降低并发症发生率,提升患者护理满意度。
Objective:To explore the application effect of the extended nursing intervention model based on case management in pa⁃tients after aortic dissection(AD).Methods:The clinical data of 236 postoperative AD patients admitted to the hospital from April 2018 to May 2020 were retrospectively analyzed,and they were divided into control group and observation group according to the order of admission,with 118 cases in each group.The control group was given routine nursing care,and the observation group was given the extended nursing intervention mode based on case management,both of which were continuously intervened for 3 months.The scores of self-care ability(Self-care Ability Assessment[ESCA]score)and psychological state(Self-rating Anxiety Scale[SAS]and Self-rating Depression Scale[SDS])were compared between the two groups before the intervention and at 3 months after the intervention.The incidence of complications and nursing satisfaction of the two groups of patients were recorded and compared.Results:Before intervention,there was no statistically significant difference in ESCA scale scores between the two groups(t=1.189,1.185,1.077,0.799,P>0.05).After the intervention,the ESCA scale scores of the two groups were higher than those before the in⁃tervention,and the observation group was higher than the control group,the differences were statistically significant(t=9.556,17.567,12.450,15.560,P<0.05).Before intervention,there was no statistically significant difference in SAS and SDS scores be⁃tween the two groups(t=1.101,0.038,P>0.05).After the intervention,the SAS and SDS scores of the two groups were decreased,and the observation group was lower than the control group,and the difference was statistically significant(t=13.800,12.734,P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was sta⁃tistically significant(χ^(2)=4.159,P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=3.989,P<0.05).Conclusion:The extended nursing intervention model based on case management can improve the self-care ability of patients after AD surgery,reduce the negative emotions of patients,reduce the incidence of complications,and improve the nursing satisfaction of patients.
作者
李瞳
LI Tong(Department of Cardiovascular Surgery,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450052,China)
出处
《黑龙江医学》
2023年第2期232-234,238,共4页
Heilongjiang Medical Journal
关键词
主动脉夹层
延伸护理
个案管理
自我护理能力
消极情绪
并发症
Aortic dissection
Extended nursing
Case management
Self-care ability
Negative emotions
Complications
