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舒适护理理论对颅内动脉瘤患者术后康复质量和护理满意度的影响。

Comfort nursing theory on the postoperative rehabilitation quality and nursing satisfaction of patients with intracranial aneurysm.

机构信息

Department of Neurosurgery, The Affiliated Hospital of Wuxi Jiangnan University, Wuxi, China.

Department of Intensive Care Medicine, The Affiliated Hospital of Jiangnan University, Wuxi, China.

出版信息

Medicine (Baltimore). 2024 Jun 14;103(24):e38337. doi: 10.1097/MD.0000000000038337.

Abstract

To explore the influence of comfort nursing theory on the postoperative rehabilitation quality of patients with intracranial aneurysms. From October 2017 to December 2022, 315 patients with intracranial aneurysms underwent interventional surgery in our hospital were included in this retrospective study and divided into the routine group (n = 105) and comfort nursing group (n = 210) based on different nursing methods. The Glasgow Outcome Scale (GOS) was used to assess patient rehabilitation outcomes. Patients' anxiety, pain, quality of life, and their satisfaction with treatment were compared. Compared with the patients receiving routine nursing, the time for comfortable nursing patients to resume normal diet, get out of bed and exercise, and the total hospital stay were significantly shortened. And the GOS score of patients receiving comfort nursing was significantly higher than that of patients receiving routine nursing. After nursing, self-rating anxiety scale and visual analog scale scores of comfortable nursing patients were significantly lower than those of routine nursing, and Karnofsky performance status scores were significantly higher than those of routine nursing. This showed that receiving comfortable nursing was beneficial to improve perioperative anxiety and depression in patients with intracranial aneurysm, and significantly improve the quality of life of patients. The total satisfaction of comfortable nursing patients was 95.24%, while that of routine nursing patients was 76.19%. Complications occurred in 30 patients receiving routine nursing, while only 15 patients received comfort nursing. The immune indexes such as CD3+, CD4+, and CD23+ of comfortable nursing patients were significantly higher than the routine nursing patients within 1 and 5 days after operation, while the immune indexes of CD8+ were lower than the routine nursing patients 5 days after operation. Comfortable nursing from the perspective of quality nursing can significantly improve the physiological indicators of patients with intracranial aneurysms, accelerate the progress of postoperative rehabilitation, improve the anxiety, pain and quality of life of patients, and improve the satisfaction of patients with nursing. Comfort nursing from the perspective of quality nursing can reduce the occurrence of postoperative complications, which may be achieved by improving the patient's immune function.

摘要

探讨舒适护理理论对颅内动脉瘤患者术后康复质量的影响。回顾性分析 2017 年 10 月至 2022 年 12 月在我院行介入手术治疗的颅内动脉瘤患者 315 例,按护理方法不同分为常规组(n=105)和舒适护理组(n=210)。采用格拉斯哥预后量表(GOS)评估患者康复效果,比较两组患者焦虑、疼痛、生活质量及对治疗的满意度。与常规护理患者相比,舒适护理患者的正常饮食、下床活动及住院总时间明显缩短,GOS 评分明显升高。护理后,舒适护理患者的焦虑自评量表和视觉模拟评分明显低于常规护理,卡氏功能状态评分明显高于常规护理。舒适护理患者的总满意度为 95.24%,常规护理患者的总满意度为 76.19%。常规护理组发生并发症 30 例,舒适护理组发生并发症 15 例。舒适护理组患者术后 1、5 d 的 CD3+、CD4+、CD23+等免疫指标明显高于常规护理组,术后 5 d 的 CD8+免疫指标明显低于常规护理组。从优质护理的角度出发的舒适护理可以显著改善颅内动脉瘤患者的生理指标,加快术后康复进程,改善患者的焦虑、疼痛和生活质量,提高患者对护理的满意度。从优质护理的角度出发的舒适护理可以降低术后并发症的发生,这可能是通过改善患者的免疫功能来实现的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da81/11175917/b513028f1034/medi-103-e38337-g001.jpg

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