个案管理在主动脉瘤患者中的临床应用

Clinical application of case management in patients with aortic aneurysms

目的探讨个案管理护理模式在主动脉瘤患者中的临床应用效果。方法 2016年1月至2017年7月,中山大学附属第一医院血管外科共收治152例主动脉瘤患者,其中76例采用常规护理模式,76例采用个案管理护理模式。结果采用个案管理护理模式患者的护理满意度、专科护理质量、出院1个月后随访服药依从性及血压监测合格率均高于常规护理模式(P﹤0.001)。结论个案管理护理模式能提高主动脉瘤患者的专科护理质量及护理满意度,有效提高出院后服药及血压监测依从性,对主动脉瘤患者的康复具有重要的临床意义。

Objective To explore the application and effects of case management nursing mode in patients withaortic aneurysms. Methods From January 2016 to July 2017, 152 patients with aortic aneurysm were treated in the first affiliated hospital of Sun Yat-sen University. Among them, 76 cases were treated with routine nursing mode and 76 cases were treated with case management nursing model. Results The nursing satisfaction, the quality of special nursing, the compliance to take medicine and the qualified rate of blood pressure monitoring of case management nursing model were higher than those of routine nursing mode(P ﹤ 0.001). Conclusions Case management nursing model can improve the quality and satisfaction of nursing care of patients with aortic aneurysms, improve the compliance of medication and blood pressure monitoring after discharge, and have an important significance in the rehabilitation of patients with aortic aneurysms.