Xie Yan-E, Huang Wei-Cheng, Li Yu-Ping, Deng Jia-Huan, Huang Jian-Ting
The First Neurological Department, Central People's Hospital of Huizhou City, Huizhou 516001, Guangdong Province, China.
World J Clin Cases. 2022 May 26;10(15):4827-4835. doi: 10.12998/wjcc.v10.i15.4827.
Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices. However, whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.
To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.
A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021, were selected and divided into the study group and the control group, with 43 patients in each group. The control group received routine nursing, and the research group received nursing intervention based on a dynamic interaction model. The daily living ability (activities of daily living, ADL), cognitive function (Simple Intelligent Mental State Scale, MMSE), quality of life (Generic Quality of Life Inventory-74, GQOL-74), self-care ability (Exercise of Self-Care Agency scale), incidence of complications, and nursing satisfaction were recorded before and after intervention.
Before intervention, ADL (52.09 ± 6.44), MMSE (18.03 ± 4.11), and GQOL-74 (53.68 ± 4.34) scores in the study group were not significantly different from those in the control group (ADL: 50.97 ± 7.32, MMSE: 17.59 ± 3.82, GQOL-74: 55.06 ± 3.98) ( > 0.05). After intervention, ADL (86.12 ± 5.07), MMSE (26.64 ± 2.66), and GQOL-74 (83.13 ± 5.67) scores in the study group were higher than those in the control group (ADL: 79.81 ± 6.35, MMSE: 24.51 ± 3.00, and GQOL-74: 77.96 ± 6.27) ( < 0.05). Before intervention, self-concept (17.46 ± 4.44), self-care skills (25.22 ± 4.20), self-care knowledge (22.35 ± 4.74), and self-care responsibility (15.06 ± 3.29) scores in the study group was similar to those in the control group (self-concept: 16.89 ± 5.53, self-care skills: 24.59 ± 4.46, self-care knowledge: 21.80 ± 3.61, and self-care responsibility: 14.83 ± 3.11) ( > 0.05). After the intervention, self-concept (26.01 ± 3.18), self-care skills (37.68 ± 6.05), self-care knowledge (45.56 ± 5.83), and self-care responsibility (22.01 ± 3.77) scores in the study group were higher than those in the control group (self-concept: 22.97 ± 3.46, self-care skills: 33.02 ± 5.65, self-care skills knowledge: 36.81 ± 5.54, and self-care responsibility: 17.97 ± 3.56 points) ( < 0.05). The incidence of complications in the study group (4.65%) was lower than that in the control group (18.60%) ( < 0.05). Nursing satisfaction in the study group (95.35%) was higher than that in the control group (81.40%) ( < 0.05).
Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function, daily living ability, self-care ability, quality of life, and patient satisfaction, while reducing the risk of complications.
基于动态互动模型的护理实践已被证明优于一般护理实践。然而，该模型对颅内动脉瘤手术后康复患者是否有效尚未得到充分研究。
探讨基于动态互动模型的护理对动脉瘤手术后患者功能康复的影响。
选取2019年4月至2021年4月我院收治的86例颅内动脉瘤患者，分为研究组和对照组，每组43例。对照组接受常规护理，研究组接受基于动态互动模型的护理干预。记录干预前后的日常生活能力（日常生活活动能力，ADL）、认知功能（简易智能精神状态检查表，MMSE）、生活质量（生活质量综合评定问卷-74，GQOL-74）、自我护理能力（自我护理能力量表）、并发症发生率及护理满意度。
干预前，研究组的ADL（52.09±6.44）、MMSE（18.03±４.11）和GQOL-74（53.68±4.34）评分与对照组（ADL：50.97±7.32，MMSE：17.59±3.82，GQOL-74：55.06±3.98）相比，差异无统计学意义（Ｐ＞0.05）。干预后，研究组的ADL（86.12±5.07）、MMSE（26.64±2.66）和GQOL-74（83.13±5.67）评分高于对照组（ADL：79.81±6.35，MMSE：24.51±3.00，GQOL-74：77.96±6.27）（Ｐ＜0.05）。干预前，研究组的自我概念（17.46±4.44）、自我护理技能（25.22±4.20）、自我护理知识（22.35±4.74）和自我护理责任（15.06±3.29）评分与对照组（自我概念：16.89±5.53，自我护理技能：24.59±4.46，自我护理知识：21.80±3.61，自我护理责任：14.83±3.11）相似（Ｐ＞0.05）。干预后，研究组的自我概念（26.01±3.18）、自我护理技能（37.68±6.05）、自我护理知识（45.56±5.83）和自我护理责任（22.01±3.77）评分高于对照组（自我概念：22.97±3.46，自我护理技能：33.02±5.65，自我护理知识：36.81±5.54，自我护理责任：17.97±3.56分）（Ｐ＜0.05）。研究组的并发症发生率（4.65%）低于对照组（18.60%）（Ｐ＜0.05）。研究组的护理满意度（95.35%）高于对照组（81.40%）（Ｐ＜0.05）。
基于动态互动模型的护理干预可改善患者术后认知功能、日常生活能力、自我护理能力、生活质量及患者满意度，同时降低并发症发生风险。
