摘要
目的 探讨进行脑动脉瘤介入治疗的患者应用奥瑞姆自我护理的效果及价值。方法 选取该院2021年2月至2022年2月收治的94例脑动脉瘤介入治疗患者作为研究对象,使用随机数字表法分为对照组和研究组,每组47例,分别实施常规护理、奥瑞姆自我护理干预,对比2组的自我护理能力、神经功能缺损、运动功能、生存质量及并发症发生情况。结果 2组护理前的自我概念、自我责任感、健康知识、自我护理技能比较差异无统计学意义(P>0.05);2组护理后各项自我护理能力均有明显升高,且研究组显著高于对照组,差异有统计学意义(P<0.05)。2组护理前的美国国立卫生研究所卒中量表(NIHSS)、Fugl-Meyer运动功能量表(FMA)、改良Rankin量表(MRS)比较,差异均无统计学意义(P>0.05);2组护理后NIHSS、FMA、MRS评分均有明显变化,且研究组的NIHSS、MRS评分显著低于对照组,FMA评分显著高于对照组,差异均有统计学意义(P<0.05)。研究组的颅内感染、脑血管痉挛、脑积水、动脉瘤再出血、肺部感染并发症发生率为2.1%(1/47),显著低于对照组[12.8%(6/47)],差异有统计学意义(P<0.05)。结论 对脑动脉瘤介入治疗患者应用奥瑞姆自我护理模式能取得良好的临床效果,价值显著,可有效提升患者自我护理能力,改善神经功能缺损、运动功能、生存质量,降低并发症发生风险,对疾病康复和预后有积极作用。
Objective To analyze the effect and value of Orim self-care in patients undergoing interventional treatment of cerebral aneurysm.Methods A total of 94 patients with cerebral aneurysm interventional therapy in our hospital were selected as the research subjects.They were divided into control group and study group(n=47)by random number table method.Routine nursing and Orium self-care intervention were carried out respectively.The self-care ability,neurological deficit,motor function,quality of life and complications of the two groups were compared.Results There was no significant difference in self-concept,self-responsibility,health knowledge and self-care skills between the two groups before nursing(P>0.05).After nursing,the self-care ability of the two group was significantly increased,and the self-care ability of the study group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).There was no significant difference inthe National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Motor Function Scale(FMA)and modified Rankin Scale(MRS)between the two groups before nursing(P>0.05).There were significant changes in the two groups after nursing.The NIHSS and MRS of the study group were significantly lower than those of the control group,and the FMA was significantly higher than that of the control group(P<0.05).The incidence of intracranial infection,cerebral vasospasm,hydrocephalus,aneurysm rebleeding and pulmonary infection in the study group was 2.1%(1/47),which was significantly lower than that in the control group[12.8%(6/47)],the difference was statistically significant(P<0.05).Conclusion The application of Orim self-care modelin patients with cerebral aneurysm interventional therapy can achieve good clinical results and significant value.It can effectively improve the self-care ability of patients,improve neurological deficits,motor function,quality of life,reduce the risk of complications,and has a positive effect on disease rehabilitation and prognosis.
作者
张雪梅
集冰
赵琳
ZHANG Xuemei;JI Bing;ZHAO Lin(Interventional Operating Room,Anyang District Hospital of Puyang City,Anyang,Henan 455000,China)
出处
《现代医药卫生》
2024年第12期2026-2029,共4页
Journal of Modern Medicine & Health
关键词
奥瑞姆
自我护理模式
脑动脉瘤介入治疗
效果及价值
Orem
Self-care mode
Interventional treatment of cerebral aneurysms
Effect and value
