摘要
目的研究早期护理干预在颅内破裂动脉瘤老年患者实施血管内介入治疗过程中的应用效果。方法将河南科技大学第二附属医院于201602-201701收治56例颅内动脉瘤破裂老年患者,按照入院先后顺序划分为对照组与观察组各28例,对照组接受常规术期护理服务,观察组接受临床提供的早期护理干预服务,总结2组术后并发症发生率,采用格拉斯哥预后量表(GOS)评估患者预后,评估患者生活质量评分。结果对照组术后并发症发生率28.57%,观察组为7.14%,观察组发生率低于对照组(P<0.05)。对照组恢复乐观所占比例低于观察组,轻度及重度致残比例均高于观察组(P<0.05)。对照组肢体功能、日常活动能力、家庭融入度及心理情绪等评分均低于观察组(P<0.05)。结论科室为老年论颅内动脉瘤破裂患者提供早期护理干预,可有效降低术后并发症发生率,促进患者恢复,改善生活状态。
Objective To study the application effect of early nursing intervention during endovascular intervention for elderly ruptured intracranial aneurysm patients. Methods 56 elderly ruptured intracranial aneurysm patients in our hospital were selected and assigned to control group ( n =28) and observation group ( n =28) according to registration number.The control group was served with routine nursing;the observation group was served with early nursing interventions.The postoperative complication rate was recorded;GOS (Glasgow outcome scale) was applied to evaluate patient’s prognosis;life quality scores were assessed. Results The postoperative complication rate in the control group (28.57%) was higher than observation group (7.14%)( P <0.05);the recovery rate in the control group was lower than observation group;the mild and severe disability rate was higher than observation group ( P <0.05);after intervention,the scores of limb function,daily living ability,family infusion and personal emotions in the control group were lower than observation group ( P <0.05). Conclusion The early nursing interventions can reduce the postoperative complication rate,promote the fast recovery and improve patient’s life quality.
作者
汪文利
WANG Wenli(General Surgery Department I,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)
出处
《中国实用神经疾病杂志》
2019年第14期1613-1618,共6页
Chinese Journal of Practical Nervous Diseases
关键词
颅内动脉瘤破裂
血管介入治疗
护理干预
并发症
生活质量
Ruptured intracranial aneurysm
Endovascular intervention
Nursing intervention
Complication
Life quality
