综合护理对脑血管介入术患者康复的影响

Influence of comprehensive nursing on rehabilitation of patients undergoing cerebrovascular intervention

目的探讨综合护理对脑血管介入术治疗患者康复的影响。方法选取2021年1月至2022年7月在云浮市中医院行脑血管介入术治疗的患者68例进行随机对照试验,采用随机数字表法分成对照组与观察组。对照组34例,男19例,女15例,年龄(59.34±5.50)岁;观察组34例,男18例,女16例,年龄(60.02±4.19)岁。对照组进行常规护理,观察组在常规护理的基础上重点加强预防性护理与心理护理(即综合护理)。比较两组患者术后并发症发生率、临床指标情况、焦虑与抑郁自评量表评分及护理满意度。采用t、χ^(2)检验进行统计分析。结果观察组术后并发症发生率为11.76%(4/34),对照组为41.18%(14/34),两组比较差异有统计学意义(χ^(2)=7.556,P=0.006)。对照组患者插管时长为(6.72±1.64)d、禁食时长为(5.93±1.34)d、卧床时长为(6.80±2.04)d、出院时长为(13.05±3.60)d,观察组分别为(4.81±0.89)d、(5.01±1.21)d、(4.15±1.21)d、(9.89±2.75)d,两组比较差异均有统计学意义(均P<0.05)。对照组焦虑自评量表(SAS)评分为(46.42±10.31)分,抑郁自评量表(SDS)评分为(44.67±9.53)分,观察组分别为(34.73±10.98)分、(35.98±8.64)分,两组比较差异均有统计学意义(均P<0.05)。对照组患者总体满意率为88.24%(30/34),观察组为97.06%(33/34),两组比较差异无统计学意义(P>0.05)。结论综合护理模式有助于脑血管介入术治疗患者的病程康复。

Objective To study the effect of comprehensive nursing on the rehabilitation of patients undergoing cerebrovascular intervention.Methods Sixty-eight patients who took cerebrovascular intervention in Yunfu Hospital of Traditional Chinese Medicine from January 2021 to July 2022 were selected for the randomized controlled trial.They were divided into a control group and an observation group by the random number table method,with 34 cases in each group.There were 19 males and 15 females in the control group;they were(59.34±5.50)years old.There were 18 males and 16 females in the observation group;they were(60.02±4.19)years old.The control group took routine nursing care;in addition,the observation group strengthened preventive and psychological care(comprehensive care).The incidences of postoperative complications,clinical indicators,scores of self-evaluation anxiety and depression scales,and nursing satisfaction were compared between the two groups.t andχ^(2)tests were applied.Results The incidence of postoperative complications in the observation group was lower than that in the control group[11.76%(4/34)vs.41.18%(14/34)],with a statistical difference between the two groups(χ^(2)=7.556,P=0.006).There were statistical differences in intubation duration,fasting duration,time staying in bed,and hospital stay between the control group and the observation group[(6.72±1.64)d vs.(4.81±0.89)d,(5.93±1.34)d vs.(5.01±1.21)d,(6.80±2.04)d vs.(4.15±1.21)d,and(13.05±3.60)d vs.(9.89±2.75)d;all P<0.05].The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the control group were higher than those in the observation group[(46.42±10.31)vs.(34.73±10.98)and(44.67±9.53)vs.(35.98±8.64)],with statistical differences between the two groups(both P<0.05).The overall satisfaction rate in the control group was lower than that in the observation group[88.24%(30/34)vs.97.06%(33/34)],with no statistical difference between the two groups(P>0.05).Conclusion The comprehensive nursing mode is conducive to the rehabilitation of patients undergoing cerebrovascular intervention.