脑血管介入手术护理清单在精细化护理中的应用

Application of nursing list of cerebrovascular interventional surgery in fine nursing

目的探讨脑血管介入手术护理清单在精细化护理中的应用。方法选取我院2017年1月~2018年1月收治的脑血管介入手术患者100例作为研究对象,按随机数字表法分为对照组(n=50)和观察组(n=50),对照组给予脑血管介入疾病的常规护理;观察组在常规基础上给予《脑血管介入手术护理清单》精细化护理,比较两组患者干预后不良事件发生率情况,比较两组患者尿潴留,假性动脉瘤,腰背部疼痛,脑出血等并发症发生情况,评价两组患者的护理质量及采用自制的满意度调查表评价护理满意度情况。结果观察组脑梗死及脑缺血发作不良事件发生率为6.00%(3/50)明显低于对照组不良事件发生率为26.00%(13/50)(P <0.05);观察组尿潴留、腰背部疼痛、假性动脉瘤、脑出血等并发症发生率为10.00%(5/50)明显低于对照组并发症发生率28.00%(14/50)(P <0.05);观察组护理质量评分明显高于对照组(P <0.05);观察组护理满意度为98.00%(49/50)明显优于对照组护理满意度为84.00%(42/50)(P<0.05)。结论脑血管介入手术护理清单在精细化护理中的应用,可有效地控制并发症的发生,提高手术护理质量,获得较高的患者护理满意度,减少脑血管不良事件发生率。

Objective To investigate the application of nursing list of cerebrovascular interventional surgery in fine nursing. Methods 100 patients undergoing cerebrovascular interventional surgery admitted and treated in our hospital from January 2017 to January 2018 were selected as the study objects,and randomly divided into the control group(n=50) and the observation group(n=50) using the number table method.The control group was given routine nursing of cerebrovascular interventional diseases;And the observation group was given fine nursing in the Nursing List of Cerebrovascular Interventional Surgery on the basis of routine nursing.The incidence of adverse events after intervention was compared between the two groups of patients,and the incidence of complications such as urinary retention,pseudoaneurysm,lower back pain,cerebral hemorrhage,etc.were compared between the two groups.The nursing quality of patients in the two groups was evaluated and the nursing satisfaction was evaluated by self-made satisfaction questionnaire. Results The incidence of adverse events of cerebral infarction and ischemic attack in the observation group was 6.00%(3/50),which was significantly lower than that in the control group(26.00%,13/50)(P < 0.05);The incidence of complications such as urinary retention,lower back pain, pseudoaneurysm,cerebral hemorrhage,etc. in the observation group was 10.00%(5/50),which was significantly lower than that in the control group(28.00%,14/50)(P < 0.05);The nursing quality score of the observation group was significantly higher than that of the control group(P < 0.05);The nursing satisfaction of the observation group was 98.00%(49/50),which was significantly better than that of the control group(84%,42/50)(P < 0.05). Conclusion The application of nursing list of cerebrovascular interventional surgery in fine nursing can effectively control the occurrence of complications,improve the quality of surgical nursing,obtain higher nursing satisfaction of patients,and reduce the incidence of cerebrovascular adverse events.