摘要
目的:研究基于问题导向的循证护理对主动脉夹层动脉瘤患者(ADA)术后神经系统并发症和生活质量的影响。方法:选取2020年2月—2022年2月在福建省立医院接受手术治疗的108例ADA患者作为研究对象,采用随机数表法分组(试验组n=54,对照组n=54)。对照组采用常规护理,试验组在常规护理基础上同时采用基于问题导向的循证护理。比较两组术后神经系统并发症发生率、生活质量、围手术期护理质量评分差异。结果:试验组术后神经系统并发症发生率低于对照组,差异有统计学意义(P<0.05)。试验组术后30 d生理健康、心理健康均高于对照组,差异均有统计学意义(P<0.05)。试验组围手术期结构、过程、结果评分均高于对照组,差异均有统计学意义(P<0.05)。结论:基于问题导向的循证护理在ADA患者围手术期中的应用能有效提升护理人员围手术期护理质量水平,对降低术后神经系统并发症发生率、改善患者术后生活质量有积极作用,值得临床推广。
Objective:To study the effect of problem-oriented evidence-based nursing on postoperative neurological complications and quality of life in patients with aortic dissection aneurysm(ADA).Method:A total 108 patients with ADA who underwent surgery in Fujian Provincial Hospital from February 2020 to February 2022 were selected as the research objects,and they were grouped by random number table method(the experimental group n=54,the control group n=54).The control group was given routine nursing,while the experimental group was given problem-oriented evidence-based nursing on the basis of routine care.The incidence of postoperative neurological complications,quality of life and perioperative nursing quality scores were compared between two groups.Result:The incidence of postoperative neurological complications in the experimental group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The scores of physical health and mental health in the experimental group at 30 d after operation were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of structure,process and result of perioperative nursing quality in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of problem-oriented evidence-based nursing in the perioperative period of ADA patients can effectively improve the level of perioperative nursing quality of nurses,reduce the incidence of postoperative neurological complications and improve the quality of life of patients,which is worthy of clinical promotion.
作者
兰月凤
王瑭颖
袁思茜
陈丽仙
江静
LAN Yuefeng;WANG Tangying;YUAN Siqian;CHEN Lixian;JIANG Jing(Fujian Provincial Hospital,Fuzhou 350001,China;不详)
出处
《中外医学研究》
2023年第3期81-84,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
主动脉夹层动脉瘤
问题导向
循证护理
神经系统
生活质量
Aortic dissection aneurysm
Problem orientation
Evidence-based nursing
Nervous system
Quality of life
