血管内介入栓塞术治疗脑血管畸形出血的围术期护理探究

Perioperative Nursing Exploration of Intravascular Interventional Embolization for Cerebrovascular Malformation Hemorrhage

目的评价血管内介入栓塞术治疗脑血管畸形出血围术期强化护理干预的预后效果,以促进脑血管畸形出血患者康复与预后。方法选择该院2015年1月—2019年12月期间收治的脑血管畸形出血疾病患者,总计70例,均行血管内介入栓塞术治疗。结合治疗期间围术期护理方法,进行受试的70例脑血管畸形出血疾病患者对照组与研究组随机分组。对照组35例患者采取常规护理服务,研究组35例患者配合优质护理服务干预,比较两组脑血管畸形出血疾病患者组间术后并发症情况、护理满意度、生活质量状况评分情况。结果护理干预后,受试的研究组与对照组患者术后并发症(2.86%vs 25.71%)(χ^2=7.467,P=0.006)、护理满意度(97.14%vs 80.00%)(χ^2=5.081,P=0.024),且研究组护理后心理功能、躯体功能以及社会功能、物质生活质量评分均明显高于对照组患者,观察指标差异有统计学意义(P<0.05)。结论脑血管畸形出血血管内介入栓塞术治疗期间强化落实围术期优质护理干预可以进一步预防和减少术后并发症,提升患者满意度和生活质量,加速患者康复。

Objective To evaluate the prognostic effect of intensive nursing intervention during the perioperative period of endovascular interventional embolization for cerebrovascular malformation hemorrhage, so as to promote the rehabilitation and prognosis of patients with cerebrovascular malformation hemorrhage. Methods A total of 70 patients with cerebrovascular malformation hemorrhage who were admitted to the hospital from January 2015 to December 2019 were selected for endovascular embolization. Combined with the perioperative nursing method during the treatment period, the tested 70 patients with cerebral vascular malformation hemorrhage disease were randomly divided into the control group and the study group. The 35 patients in the control group took conventional nursing services, and the 35 patients in the study group cooperated with the intervention of high-quality nursing services. The postoperative complications, nursing satisfaction, and quality of life scores were compared between the two groups of patients with cerebrovascular malformation bleeding. Results After nursing intervention, postoperative complications(2.86% vs25.71%)(χ^2=7.467, P =0.006) and nursing satisfaction(97.14% vs 80.00%)(χ^2=5.081, P =0.024),and the scores of psychological function, physical function, social function, and material life quality after research nursing in the study group were significantly higher than those of the control group, and the differences in the observation indicators were statistically significant(P <0.05). Conclusion Strengthening the implementation of high-quality perioperative nursing intervention during the treatment of cerebral vascular malformation hemorrhage endovascular interventional embolization can further prevent and reduce postoperative complications, improve patient satisfaction and quality of life, and accelerate patient recovery.