优质化细节护理对颅内动脉瘤介入栓塞术后患者疼痛及睡眠质量的影响

Effect of quality and detailed care on pain,sleep quality and negative emotions after embolization for intracranial aneurysm

目的探讨优质化细节护理对颅内动脉瘤介入栓塞术后患者疼痛、睡眠质量及负面情绪的影响。方法选取2014年8月至2019年1月间在榆林市第二医院接受颅内动脉瘤介入栓塞术治疗的80例颅内动脉瘤破裂患者,根据患者接受的护理模式不同进行分组,接受常规护理的42例患者纳入对照组,接受优质化细节护理的38例患者纳入研究组。采用视觉模拟评分(VAS)评估两组患者的主观疼痛感受,采用阿森斯失眠量表(AIS)评估两组患者的睡眠质量,采用抑郁自评量表(SDS)和焦虑自评量表(SAS)分别评估两组患者的抑郁、焦虑等负面情绪的严重程度。结果术后24h、术后72h和术后1周,研究组患者的疼痛评分均低于对照组患者,差异均有统计学意义(均P<0.05)。术后1周,研究组患者的术后睡眠质量总分及各个项目评分值均低于对照组患者,差异均有统计学意义(均P<0.05)。术后1周,研究组患者的负面情绪评分SAS和SDS评分均低于对照组患者,差异均有统计学意义(均P<0.05)。结论颅内动脉瘤介入栓塞术患者接受优质化细节护理,可有效减轻患者术后疼痛及负面情绪,优化睡眠质量,是一种较理想的护理方式。

Objective To investigate the effect of quality and detailed care on pain,sleep quality and negative emotions after embolization for intracranial aneurysm.Methods Eighty patients undergoing embolization for intracranial aneurysm at Yulin NO.2 Hospital from August 2014 to January 2019 were selected as research subjects.They were divided into a study group(38 patients)and a control group(42 patients)according to the nursing they received.The study group was given conventional nursing and the control group was given quality and detailed nursing care.After surgery,visual analogue scale(VAS)was used to evaluate the subjective pain feelings in the two groups,and the sleep quality was assessed by Athens insomnia scale(AIS).The severity of depression and anxiety in two groups were assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Results VAS scores were lower in study group than in control group at 24 h,72 h and 1 week after the surgery(all P<0.05).At 1 week after surgery,the overall score of AIS were lower in study group than in control group(all P<0.05).Negative SAS and SDS scores were lower in the study group than in the control group(all P<0.05).Conclusion Quality and detailed care can effectively reduce postoperative pain and negative emotions,and optimize sleep quality,which is an ideal way of nursing in patients undergoing embolization for intracranial aneurysm.