术后针对性护理对颅内动脉瘤患者神经功能恢复及生存质量的影响

Effect of postoperative targeted nursing on recovery of nerve function and survival quality in patients with intracranial aneurysm

目的探讨术后针对性护理对颅内动脉瘤患者神经功能恢复及生存质量的影响。方法选取2016年1月—2017年12月在本院接受治疗的60例颅内动脉瘤患者为研究对象,按随机数表法分为两组,各30例。给予对照组常规护理,给予研究组术后针对性护理。比较两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、简化Fugl-Meyer运动功能量表(FAM)评分、健康调查简表(SF-36)评分、美国国立卫生研究院卒中量表(NIHSS)评分及并发症情况。结果研究组干预3个月SAS、SDS评分、NIHSS评分均低于对照组,差异有统计学意义(P<0.05);研究组干预3个月后FAM评分、疼痛、躯体功能、情绪角色、心理健康、社会功能、生命力及总体健康评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组(6.67%VS 33.33%),差异有统计学意义(P<0.05)。结论术后针对性护理可有效减轻颅内动脉瘤患者术后不良情绪,改善神经功能及运动功能,提高生存质量。

Objective To investigate the effect of postoperative targeted nursing on recovery of nerve function and survival quality in patients with intracranial aneurysm. Methods 60 patients with intracranial aneurysm treated in our hospital from January 2016 to December 2017 were selected,and they were divided into two groups by random number table,with 30 cases in each group. Control group was given routine nursing,while research group was given postoperative targeted nursing. The self-rating anxiety scale（ SAS）,self-rating depression scale（ SDS）,simplified Fugl-Meyer scale（ FAM）,short-form 36 health survey（ SF-36）,national institutes of health stroke scale（ NIHSS）,complications were compared between the two groups. Results After intervention for 3 months,the SAS,SDS,NIHSS scores in research group were lower than those in control group（ P0.05）. After intervention for 3 months,the scores of FAM,pain,physical function,role emotional,mental health,social function,vitality,general health in research group were higher than those in control group（ P 0.05）. The incidence of complications in research group was lower than that in control group（ 6.67% VS 33.33%,P0.05）.Conclusions Postoperative targeted nursing can effectively reduce negative emotions for patients with intracranial aneurysm,improve nerve function and motor function,and increase survival quality.