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基于风险预防的颅内动脉瘤患者围手术期综合护理的效果。

Effects of perioperative comprehensive nursing based on risk prevention for patients with intracranial aneurysm.

机构信息

Operating Room, Linyi Central Hospital, Linyi, China.

出版信息

Int J Clin Pract. 2021 Apr;75(4):e13761. doi: 10.1111/ijcp.13761. Epub 2020 Dec 11.

DOI:10.1111/ijcp.13761
PMID:33058366
Abstract

OBJECTIVE

To explore the effect of comprehensive nursing based on risk prevention in perioperative nursing of intracranial aneurysm.

METHODS

A total of 156 patients who suffered from intracranial aneurysm were admitted in neurosurgery department from the hospital between January 2018 and January 2019. Patients were randomly divided into observation group (n = 78, patients were given comprehensive nursing based on risk prevention) and control group (n = 78, patients were given routine nursing). The following parameters, such as postoperative hospital stay, rescue success rate, Glasgow coma scale (GCS) after being awake, anxiety degree and nursing effect (incidence of complications, incidence of infection and patient satisfaction) were compared between the two groups.

RESULTS

The postoperative hospital stay, rescue success rate and GCS after intervention in the observation group were significantly better than those in the control group (P < .05). The degree of anxiety in the observation group after intervention was superior to that in the control group (P < .05), similar results were obtained in terms of the nursing effect in the observation group compared with the control group (P < .05).

CONCLUSION

Comprehensive nursing was associated with the shortness of hospitalisation time of patients, improved rescue rate, reduced occurrence of complications and infection, and improved satisfaction of patients. Thus, comprehensive nursing was regarded to exert protective effect with a promising future for clinical practice.

摘要

目的

探讨颅内动脉瘤围手术期护理中基于风险预防的综合护理的效果。

方法

选取 2018 年 1 月至 2019 年 1 月我院神经外科收治的颅内动脉瘤患者 156 例,随机分为观察组(n=78,给予基于风险预防的综合护理)和对照组(n=78,给予常规护理)。比较两组患者术后住院时间、抢救成功率、清醒后格拉斯哥昏迷量表(GCS)评分、焦虑程度和护理效果(并发症发生率、感染发生率和患者满意度)。

结果

观察组患者术后住院时间、抢救成功率和干预后 GCS 评分明显优于对照组(P<0.05)。观察组患者干预后焦虑程度优于对照组(P<0.05),观察组护理效果与对照组比较(P<0.05)。

结论

综合护理与患者住院时间缩短、抢救成功率提高、并发症和感染发生率降低、患者满意度提高有关。因此,综合护理对临床实践具有保护作用,具有广阔的应用前景。

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