以问题为导向的循征护理在主动脉夹层动脉瘤患者中的应用

Application of problem-oriented evidence-based nursing in patients with aortic dissection aneurysm

目的探讨以问题为导向的循证护理对主动脉夹层动脉瘤(ADA)患者术后神经系统并发症的影响。方法采用便利抽样法,选取2018年9月—2020年5月在河南省人民医院进行手术治疗的82例ADA患者作为研究对象,随机分为研究组和对照组,每组41例,对照组采用常规护理干预,研究组在常规护理的基础上给予以问题为导向的循证护理干预。比较两组ADA患者术后神经系统并发症的发生率。结果研究组患者术后神经系统并发症发生率为4.88%(2/41),低于对照组的24.39%(10/41),差异具有统计学意义(P<0.05)。结论以问题为导向的循证护理模式可有效降低ADA患者术后神经系统并发症的发生率。

Objective To explore the effect of problem-oriented evidence-based nursing on postoperative neurological complications in patients with aortic dissection aneurysm(ADA).Methods Using the convenient sampling method,a total of 82 ADA patients who underwent surgical treatment in Henan Provincial People's Hospital were selected as the research objects from September 2018 to May 2020.They were randomly divided into the study group and the control group,with 41 cases in each group.The control group was given routine nursing intervention,while the study group was given problem-oriented evidence-based nursing intervention based on routine nursing.The incidence of postoperative neurological complications in ADA patients was compared between the two groups.Results The incidence of postoperative neurological complications in the study group was 4.88%(2/41),lower than 24.39%(10/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions The problem-oriented evidence-based nursing model can effectively reduce the incidence of postoperative neurological complications in ADA patients.