Stanford B型主动脉夹层病人围术期危险因素的护理干预

Nursing intervention of perioperative risk factors of patients with Stanford type B aortic dissection

[目的]探讨Stanford B型主动脉夹层(AD)覆膜支架植入术病人围术期相关危险因素的护理。[方法]选择2012年7月—2013年9月收治的B型主动脉夹层行覆膜支架植入术的50例病人作为观察组,经全面评估后予以整体护理干预;选择2010年1月—2012年6月收治的B型主动脉夹层行覆膜支架植入术的50例病人作为对照组,给予常规护理,比较两组护理干预效果。[结果]观察组病人的术后恢复情况、生存质量(SF-36)及焦虑自评量表(SAS)评分、疼痛评分优于对照组,差异有统计学意义(P<0.05或P<0.01)。[结论]对围术期病人危险因素进行整体护理干预,有利于危险因素的控制,可减少ICU停留时间、缩短住院时间、改善预后、促进康复、提高病人生存质量。

Objective：To probe into the nursing care of perioperative risk factors of patients with Stanford type B aortic dissection.Methods：A total of 50 patients underwent type B aortic dissection stent implantation from 2012 July to 2013 September were selected as observation group,after holistic assessment they received comprehen-sive nursing intervention;another 50 patients underwent type B aortic dissection stent implantation from 2010 January to 2012 June were selected as control group and were given the routine nursing care,then to compare effect of nursing intervention between two groups.Results：The recovery score after operation,the quality of sur-vival score （SF 36）and Self Rating Anxiety Scale （SAS）score,pain score were better than that in control group and the difference was statistically significant （P 〈0.05 or P 〈0.01）.Conclusion：Holistic nursing intervention on risk factors of perioperative patients is propitious to control the risk factors,can reduce the ICU residence time,shorten the hospitalization time,improve the prognosis,promote rehabilitation and improve the patients’ quality of life.