摘要
目的 观察优质护理在脑卒中患者颅外-颅内动脉吻合术围术期的应用。方法 选取2016年1月-2016年12月我院住院 部收治行颅外-颅内动脉吻合术脑卒中患者52例,随机分为对照组与观察组,各26例。对照组患者实施常规护理, 观察组患者实施优质护理。对比两组患者经不同护理预后,心理状态(自评抑郁量表评分、汉密尔顿焦虑量表评分) 以及护理满意度方面的差异。结果 干预后两组自评抑郁量表(SDS)评分,汉密尔顿焦虑量表(HAMA),比干预前均 降低,且干预后观察组自评抑郁量表(SDS)评分,汉密尔顿焦虑量表(HAMA)均低于对照组,差异均有统计学意义(P <0.05);观察组护理满意率88.46%显著高于对照组76.92%,差异有统计学意义(P<0.05)。结论 在脑卒中患者围 术期中应用优质护理,有利于患者健康恢复。
Objective To observe the application of high quality nursing in the perioperative period of extracranial-intracranial anastomosis in stroke patients. Methods A total of 52 patients with stroke who underwent extracranial-intracranial anastomosis in the inpatient department of our hospital from January 2016 to December 2016 were selected and randomly divided into control group and observation group, with 26 cases in each group. Control group was given routine nursing, and observation group was treated with high quality nursing. The differences of different nursing prognosis, psychological status (self-rating depression scale score, Hamilton anxiety scale score) and nursing satisfaction were compared between the two groups. Results After intervention, the self-rating depression scale (SDS) score and Hamilton anxiety scale (HAMA) score in the two groups were lower than those before intervention, and the self-rating depression scale (SDS) score and Hamilton anxiety scale (HAMA) score after intervention in observation group were lower than those in control group (P<0.05). The nursing satisfaction rate in observation group was significantly higher than that in control group (88.46% vs 76.92%) (P<0.05). Conclusion High quality nursing in the perioperative period of stroke patients is conducive to the health recovery of patients.
【关键词】优质护理;脑卒中;颅外-颅内动脉吻合术;围术期
【中图分类号】R651.1
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.01.009
前言
脑卒中是脑血管类常见疾病,临床表现为语言不 流畅、昏迷、面部口角不对称等。颅内外供血血管狭 窄或闭塞是脑卒中最常见病因,颅外-颅内动脉吻合 术将血流从颅外引向颅内,增加脑内血液供应,减少 脑缺血,降低再梗率,减轻患者临床症状[1]。脑卒中 具有发病率高、残疾率高和复发率高等特点,病后严 重影响患者生活质量,给患者、家庭、社会带来沉重 负担[2]。目前医学水平尚不能完全治愈脑卒中,部分 患者围术期护理不善导致病情复发。优质护理以患者为中心,结合患者个体疾病信息,全面提高患者身心 健康水平[3]。本次研究旨在分析采用优质护理服务在 脑卒中颅外-颅内动脉吻合术围术期中的应用价值, 现报告如下。
罕少疾病杂志
第26卷, 第 1 期
2019年01月
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