摘要
目的研究三级预防护理模式对破裂性腹主动脉瘤术后康复及并发症预防效果。方法行破裂性腹主动脉瘤术患者108例,采用随机数字法将其分为对照组和观察组,每组54例。对照组患者接受围术期常规护理干预,在此基础上,给予观察组患者三级预防护理模式干预。比较2组患者护理前后的负面情绪改善效果[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、血脂[总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、载脂蛋白B(ApoB)、脂蛋白a(LPa)、同型半胱氨酸(Hcy)、动脉粥样硬化指数(TC/HDL)]水平变化,同时比较术后预后情况、护理满意度以及并发症发生率。结果护理后,观察组的SAS评分和SDS评分均明显低于对照组(P<0.05);护理后,观察组的血清TC、TG、LDL、ApoB、LPa、Hcy水平明显低于对照组(P<0.05),HDL水平明显高于对照组(P<0.05),TC/HDL明显小于对照组(P<0.05);观察组的住院时间、下床活动时间总并发症发生率均明显低于对照组(P<0.05);观察组的总护理满意度明显高于对照组(P<0.05)。结论三级预防护理模式能有效加快破裂性腹主动脉瘤患者的术后康复,预防术后并发症效果好,患者满意度较高,值得在临床推广。
Objective To investigate the effects of three levels of prevention and nursing mode on the postoperative rehabilitation and prevention of complications of patients with ruptured abdominal aortic aneurysm after operation.Methods A total of 108 patients who underwent ruptured abdominal aortic aneurysm surgery in our hospital from January 2017 to January 2018 were enrolled in the study,who were divided into control group and observation group according to random number method,with 54 cases in each group.The patients in control group received routine nursing intervention at perioperative period,however,the patients in observation group,on the basis of control group,were given three-level preventive nursing intervention.The improvement effect of negative emotions and changes of blood lipid levels before and after nursing were observed and compared between the two groups.Moreover the postoperative prognosis,nursing satisfaction degree and the incidence rate of complication were observed and compared between the two groups.Results After nursing,the SAS and SDS scores in observation group were significantly lower than those in control group(P<0.05).And the serum levels of total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL),apolipoprotein B(ApoB),lipoprotein a(LPa),homocysteine(Hcy)in observation group were significantly lower than those in control group(P<0.05),however,the levels of high density lipoprotein(HDL)were significantly higher than those in the control group(P<0.05),and the ratio of TC/HDL was significantly lower than that in control group(P<0.05).In addition the hospitalization time and ambulation time in observation group were significantly shorter than those in control group(P<0.05),and the total complication rate was 5.55%in observation group,which was significantly lower than that(24.07%)in control group(P<0.01),and the total nursing satisfaction degree in observation group was significantly higher than that in control group(P<0.01).Conclusion The three levels of prevention and nursing mode
作者
杜霞
马艳妮
郑霄
吕向妮
DU Xia;MA Yanni;ZHENG Xiao(The First Hospital Affiliated to Air Force Military Medical University,Shaanxi,Xi’an 710032,China)
出处
《河北医药》
CAS
2020年第18期2856-2859,2863,共5页
Hebei Medical Journal
关键词
三级预防护理
破裂性腹主动脉瘤
术后康复
并发症预防
three levels of prevention nursing
ruptured abdominal aortic aneurysm
postoperative rehabilitation
prevention of complications
