摘要
目的：探讨颈动脉内膜剥脱术治疗症状性颈动脉狭窄围术期的护理效果。方法选取2014年1月至2015年1月在本院接受治疗的症状性颈动脉狭窄患者108例为研究对象，随机分为观察组（ n=54）和对照组（n=54），两组均行颈动脉内膜剥脱术。两组患者在围术期均实施护理干预，给予对照组围手术期常规的护理干预措施，给予观察组围手术期整体护理干预措施。对两组患者的焦虑自评量表（ SAS）评分和抑郁自评量表（ SDS）评分、并发症发生情况、护理工作满意度进行评估和比较。结果两组患者在干预前，其SAS评分以及SDS评分差异不具有统计学意义（ P〉0.05），而观察组在经整体护理干预之后，其SAS评分以及SDS评分显著优于常规护理干预的对照组（ P〈0.05）；对照组的并发症发生率为18.52%，明显高于观察组（ P〈0.05）；与对照组相比，观察组的护理质量满意度更为显著，明显高于对照组（ P〈0.05）。结论对行颈动脉内膜剥脱术的症状性颈动脉狭窄患者在围术期实施整体护理措施可以有效减轻患者的负性心理，辅助降低并发症的发生率，并加强了护患之间的关系。
Objective To explore the perioperative nursing effect of carotid endarterectomy on the treatment of symptomatic carotid artery stenosis. Methods A total of 108 cases of patients with symptomatic carotid artery stenosis treated in our hospital from January 2014 to January 2015 were selected and were randomly divided into an observation group （ n=54 ） and a control group （ n=54 ） . All the patients of the two groups received carotid endarterectomy. During the perioperative period, the patients of the control group adopted conventional nursing intervention measures, while the patients of the observation group were given holistic nursing intervention countermeasures. The anxiety self-assessment scale （ SAS） score, depression self rating scale （ SDS） score, complications and nursing job satisfaction of the patients of the two groups were evaluated and compared. Results Before intervention, there were no statistical significances in terms of the differences for SAS and SDS scores of the patients of the two groups （ P〉0. 05 ） . While the SAS scores and SDS scores of the observation group after holistic nursing were significantly better than that of the control group （ P〈0. 05 ） . The incidence rate of complications of the control group was 18. 52%, which was significantly higher than that of the observation group （ P〈0. 05 ） . The satisfaction for nursing quality of the observation group was significantly higher than that of the control group （ P〈0. 05 ） . Conclusion To implement holistic nursing intervention during the periopera-tive period on symptomatic carotid artery stenosis patients with carotid endarterectomy can effectively reduce the patientsˊnegative psychology, at the same time it can help reduce the postoperative complications, and promote the relationship between nurses and patients.
出处
《国际护理学杂志》
2016年第18期2577-2580,共4页
international journal of nursing
关键词
颈动脉内膜剥脱术
症状性颈动脉狭窄
整体护理
Carotid endarterectomy
Symptomatic carotid artery stenosis
Holistic nursing
