个性化健康教育对颅内动脉瘤患者介入诊疗的影响

Effects of preoperative individualized health education on the interventional diagnosis and treatment of intracranial aneurysms

目的术前个性化健康教育对颅内动脉瘤患者介入诊疗的影响。方法2018年8月至2019年12月头颅MRA诊断颅内动脉瘤,血压控制在<140/90 mm Hg伴头痛的患者120例,患者清醒且能正常交流。随机分为对照组和试验组。2组患者进行术前常规护理和健康教育,试验组给予个性化健康教育,术中观察患者血压情况;颅内每条血管首次造影时正确遵嘱行为的情况;术中患者头痛程度较术前有无变化;3D-DSA中首条血管得到清晰图像对比剂剂量的比较。结果试验组患者血压变化明显低于对照组,颅内每条血管首次造影时正确遵嘱行为明显高于对照组,头痛程度明显好于对照组,3D-DSA中首条血管得到清晰图像所用对比剂剂量明显少于对照组,差异均有统计学意义(P<0.05)。结论个性化健康教育使颅内动脉瘤患者介入诊疗时血压稳定,遵嘱执行力强,对比剂用量少,术中的头痛程度较术前明显减轻。

Objective To investigate the effects of preoperative individualized health education on the interventional diagnosis and treatment of intracranial aneurysms.Methods A total of 120 patients with headache and blood pressure below 160/90 mmHg who were diagnosed as intracranial aneurysms by MRA and were treated in our hospital from August 2018 to December 2019 were enrolled in the study,who were randomly divided into control group and experimental group.The patients in both groups received preoperative routine nursing and health education,on that basis,the patients in experimental group were given individualized health education.The blood pressure of patients was observed during the operation,and the correct compliance behavior was observed during the first angiography of each intracranial vessel,moreover,the headache degree of patients during the operation was compared with that before operation,and the contrast agent dosage of the first vessel in 3D-DSA was observed and compared.Results The changes of blood pressure in experimental group were significantly lower than those in control group,however,the correct compliance behavior of each intracranial vessel during the first angiography was significantly higher than that in control group,and the headache degree was significantly better than that in control group.Moreover the dosage of contrast agent used to get a clear image of the first vessel in 3D-DSA was significantly lower than that in control group(P<0.05).Conclusion Individualized health education can stabilize the blood pressure of patients with intracranial aneurysms during interventional diagnosis and treatment,which can improve the execution ability according to doctor’s order,decrease the use amount of contrast agent,and relieve obviously the headache degree during operation.