脑血管狭窄支架介入治疗的术后护理要点研究

Study on postoperative nursing points of stent interventional therapy for cerebral vascular stenosis

目的探讨脑血管狭窄支架介入治疗的术后护理要点。方法 80例脑血管狭窄支架介入治疗患者,随机分为实验组与对照组,各40例。对照组遵循术后常规护理,实验组落实术后优质护理。比较两组患者满意水平;术后治疗依从性;干预前后负性心理和心功能指标水平;术后并发症发生情况。结果实验组患者满意率为100.00%(40/40),高于对照组的75.00%(30/40),差异具有统计学意义(P<0.05)。干预前,两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、左室收缩末期内径、左室射血分数比较差异无统计学意义(P>0.05);干预后,两组患者SAS评分、SDS评分、左室收缩末期内径、左室射血分数均显著改善,且实验组明显优于对照组,差异均具有统计学意义(P<0.05)。实验组患者术后治疗依从性评分(96.04±3.23)分优于对照组的(82.13±3.13)分,差异具有统计学(P<0.05)。实验组术后并发症发生率5.0%明显低于对照组的22.5%,差异具有统计学意义(P<0.05)。结论术后优质护理在脑血管狭窄支架介入治疗护理中的干预结果确切,可减少患者负性情绪,改善其心功能,提高其治疗的依从性,更好减少并发症的发生和提升患者满意度。

Objective To discuss the postoperative nursing points of stent interventional therapy for cerebral vascular stenosis.Methods A total of 80 cerebral vascular stenosis patients with stent interventional therapy were randomly divided into experimental group and control group,with 40 cases in each group.The control group received postoperative conventional nursing,and the experimental group received postoperative high-quality nursing.Comparison were made on satisfaction level,postoperative treatment compliance,negative psychology and cardiac function index before and after intervention and occurrence of postoperative complications between the two groups.Results The experimental group had higher satisfaction degree as 100.00%(40/40)than 75.00%(30/40)in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,left ventricular end systolic diameter and left ventricular ejection fraction(P>0.05).After intervention,both groups had improved SAS score,SDS score,left ventricular end systolic diameter and left ventricular ejection fraction,and the experimental group was obviously better than the control group.Their difference was statistically significant(P<0.05).The experimental group had better postoperative compliance score as(96.04±3.23)points than(82.13±3.13)points in the control group,and the difference was statistically significant(P<0.05).The experimental group had obviously lower incidence of postoperative complications as 5.0%than 22.5%in the control group,and the difference was statistically significant(P<0.05).Conclusion Postoperative high-quality nursing shows affirmative intervention effect in nursing of stent interventional therapy for cerebral vascular stenosis,and this method can reduce the negative emotions of patients,improve their cardiac function and their treatment compliance,as well as better reducing the occurrence of complications and improving patient’s satisfaction.