开颅动脉瘤夹闭术患者围手术期护理

Perioperative care: an analysis of 36 cases of cranial aneurysm surgery

目的探讨36例开颅动脉瘤夹闭术患者围手术期护理效果,为降低术后并发症提供临床依据。方法选取该院在2011年3月—2013年3月收治的36例行开颅动脉瘤夹闭术的患者,所有患者都自愿接受调查和服从所有准则,将这些患者分为两组,观察组和对照组。对照组患者实施常规护理,观察组患者采取有针对性的全面护理措施。分析比较两组患者的舒适度、满意度以及并发症发生率,并将所得到的资料进行分析。结果观察组18例患者在实施有针对性的护理后并发症发生率为11.11%;对照组并发症发生率为38.89%,两组间差异有统计学意义(χ2=3.873 0,P<0.05)。观察组患者对护士满意度为55.56%;对照组为16.67%,两组数据差异有统计学意义(P<0.05)。结论对开颅动脉瘤夹闭术患者围手术期进行有针对性的护理,能有效降低并发症发生率,提高患者的术后舒适度和满意度,该方法值得在临床上推广使用。

Objective To investigate perioperative care effect of 36 cases of cranial aneurysm surgery,in order to provide clinical basis for reducing postoperative complications. Methods We selected 36 patients who ,from March 2011 to March 2013 ,were treated with routine cranial aneurysm surgery. All patients were willing to be investigatied and to obey all the criteria ,who were divided into two groups, observation and control groups. Routine care was coneucted for patients with the control group, while the observation group was targeted to take full care measures. Analysis and comparison were made between the two groups of patient comfort, satisfaction and incidence of complication, and the resulting data were analyzed. Results In observation group, after the implementation of targeted treatments complication incidence of 18 patients were 11.11% while in, control group the incidence was 38.89%. The difference between the two groups was statistically significant （X^2 = 3. 8730 ,P 〈0.05 ）. The patients satisfactions with nurses were 55.56% , 16.67% respectively in observation group and control group, which had statistically significant differences （ P 〈 0.05 ）. Conclusions Perioperative care of cranial aneu- rysm surgery can effectively reduce the incidence of complications,improve patient comfort and satisfaction after surgery, which is worthy of clinical practice and promotion.