摘要
目的观察围术期护理干预在脑血管介入患者护理中的应用效果分析。方法方便选取该院(2019年2月-2020年2月)介入科收治择期行脑血管介入手术患者262例,以随机数字法分成对照组(131例)与实验组(131例),对照组患者实施常规手术护理干预,实验组患者实施围术期护理干预。对照两组患者入院后、术前负性情绪评分,术中血压、心率变化幅度及两组患者并发症发生情况比较。结果两组患者经护理干预后负性情绪评分均明显下降,在术前实验组HAMD评分(7.64±1.31)分、HAMA评分(8.03±1.17)分显著低于对照组(11.43±1.22)分、(12.28±1.43)分,差异有统计学意义(t=11.977、8.866,P=0.000、0.000)。实验组患者术中收缩压变化幅度(12.45±1.46)mmHg、舒张压变化幅度(4.73±0.56)mmHg、心率变化幅度(15.86±1.97)次/min明显低于对照组(21.23±2.57)mmHg、(8.16±0.98)mmHg、(26.68±4.08)次/min,差异有统计学意义(t=33.999、34.781、27.334,P=0.000、0.000、0.000)。实验组并发症发生率(0.76%)明显低于对照组(9.92%),差异有统计学意义(χ^2=10.866,P=0.001)。结论在脑血管介入患者的护理中,采取围手术期护理干预,可明显减轻术前患者的负性情绪,平稳术中的生命体征,减少术后并发症的发生,效果理想。
Objective To observe the effect of perioperative nursing intervention in the care of patients with cerebrovascular intervention.Methods Convenient select a total of 262 patients who underwent elective cerebrovascular interventional surgery in the interventional department of the hospital(February 2019 to February 2020)were divided into a control group(131 cases)and an experimental group(131 cases)by random number method.The routine surgical nursing intervention was implemented,and the patients in the experimental group implemented perioperative nursing intervention.The negative emotion scores of patients in the two groups after admission and preoperatively were compared,and the changes in blood pressure and heart rate during operation and the occurrence of complications in the two groups were compared.Results After nursing intervention,the negative emotion scores of the two groups were significantly decreased.The HAMD score(7.64±1.31)points and HAMA score(8.03±1.17)points in the experimental group were significantly lower than the control group(11.43±1.22)points,(12.28±1.43)points,the difference was statistically significant(t=11.977,8.866,P=0.000,0.000).The intraoperative systolic blood pressure change range(12.45±1.46)mmHg,diastolic blood pressure change range(4.73±0.56)mmHg,heart rate change range(15.86±1.97)times/min of the experimental group were significantly lower than the control group(21.23±2.57)mmHg,(8.16±0.98)mmHg,(26.68±4.08)times/min,the difference was statistically significant(t=33.999,34.781,27.334,P=0.000,0.000,0.000).The incidence of complications in the experimental group(0.76%)was significantly lower than that in the control group(9.92%),the difference was statistically significant(χ^2=10.866,P=0.001).Conclusion In the nursing of patients with cerebrovascular intervention,perioperative nursing intervention can significantly reduce the negative emotions of patients before surgery,stabilize the vital signs during surgery,and reduce the occurrence of postoperative complications.The effe
作者
钟碧红
黄小红
黄海萍
ZHONG Bi-hong;HUANG Xiao-hong;HUANG Hai-ping(Interventional Catheter Room,the First People's Hospital of Huizhou,Huizhou,Guangdong Province,516001 China)
出处
《中外医疗》
2020年第23期171-173,共3页
China & Foreign Medical Treatment
关键词
围术期
护理干预
脑血管
介入患者
护理效果
Perioperative period
Nursing intervention
Cerebrovascular
Interventional patients
Nursing effect
