循证护理对腹主动脉瘤腔内修复术后并发症及生活质量的影响

Effect of Evidence-based Nursing on Complications and Quality of Life after Intra-abdominal Aortic Aneurysm Repair

目的探讨循证护理对腹主动脉瘤腔内修复术后并发症及生活质量的影响。方法方便收集2017年7月-2019年5月期间在该院行腔内修复术治疗的腹主动脉瘤患者80例。根据随机数字表法将患者分为常规组和循证组,每组40例。常规组术后给予常规护理。循证组在常规组基础上实施循证护理干预。对比两组患者住院期间并发症发生情况,评价患者出院后1个月时复查时的生活质量差异。结果循证组总发生率为2.5%,明显低于常规组的15.0%(χ~2=3.914,P<0.05),并发现循证组患者出院后1个月时的总体健康、躯体角色、肌肉疼痛、社会功能、情感角色、心理健康评分分别为(90.6±5.3)分、(90.1±10.5)分、(85.1±9.2)分、(84.1±11.6)分、(87.2±13.6)分、(90.8±8.1)分,明显高于常规组的[(78.1±6.8)分、(77.6±10.8)分、(69.2±9.3)分、(67.5±10.2)分、(76.0±9.8)分、(78.7±7.2)分](t=9.169、5.249、7.687、6.797、4.226、7.061,P<0.05)。结论腹主动脉瘤腔内修复术治疗腹主动脉瘤能有较好的疗效,这与护理质量持续改进密切相关,循证护理能有效降低患者术后并发症发生率,改善其术后生活质量。

Objective To explore the effect of evidence-based nursing on complications and quality of life after intra-abdominal aortic aneurysm repair. Methods Convenient select a total of 80 patients with abdominal aortic aneurysms treated in the hospital from July 2017 to May 2019 were collected. Patients were divided into routine group and evidence-based group according to the random number table method, with 40 patients in each group. The routine group was given routine nursing after operation. The evidence-based group implemented evidence-based nursing interventions on the basis of the routine group. The incidence of complications during hospitalization was compared between the two groups of patients, and the differences in quality of life at the time of review at 1 month after discharge were evaluated. Results The total incidence rate of the evidence-based group was 2.5%, which was significantly lower than 15.0% of the conventional group(χ~2=3.914,P <0.05). The overall health, physical role, and muscles of the patients in the evidence-based group at 1 month after discharge were found. The scores for pain, social function, emotional role, and mental health were(90.6±5.3)points,(90.1±10.5)points,(85.1±9.2)points,(84.1±11.6)points, and(87.2± 13.6) points, and(90.8±8.1) points, significantly higher than the conventional group’s [(78.1 ±6.8) points,(77.6 ±10.8)points, and(69.2 ±9.3) points,(67.5 ±10.2) points,(76.0 ±9.8) points,(78.7 ±7.2) points](t =9.169, 5.249, 7.687, 6.797, 4.226, 7.061,P <0.05). Conclusion Abdominal aortic aneurysm can effectively treat abdominal aortic aneurysm, which is closely related to the continuous improvement of nursing quality.Evidence-based nursing can effectively reduce the incidence of postoperative complications and improve the postoperative life quality of patients.