主动脉夹层动脉瘤围术期的循证护理干预

Evidence-based nursing interventions for aortic dissecting aneurysm patients

目的研究循证护理干预应用于主动脉夹层动脉瘤(ADA)围术期的临床效果。方法于夏门大学附属第一医院收治的行ADA手术患者中选取60例,使用随机数字表法分为2组,各30例。对照组实施常规围术期护理,试验组实施循证护理干预,对比2组护理服务满意度,使用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估2组心理状态,日常生活能力量表评估2组生活质量,洛文斯顿认知功能评定测验(LOTCA)评估患者认知功能,同时使用简易精神状态检查表(MMES)评估2组精神状态。结果与对照组相比,试验组满意度更高(P<0.05);护理前2组SAS、SDS、ADL评分对比无明显差异(P>0.05),护理后相较于对照组,试验组SAS、SDS评分较低,ADL评分较高(P<0.05);护理前2组LOTCA、MMES评分对比无明显差异(P>0.05),护理后相较于对照组,试验组评分均较高(P<0.05)。结论对ADA手术患者实施循证护理干预可缓解其负性情绪,进而促进治疗进展,确保患者日常生活质量,值得借鉴。

Objective To study the evidence-based nursing interventions for aortic dissecting aneurysm(ADA)patients.Methods 60 ADA patients treated from January 2017 to June 2020 in our hospital were selected.According to random number table,patients were divided into two groups,30 cases in each group.The routine nursing was performed in the control group;the evidence-based nursing interventions were performed in the experimental group.Nursing effects were analyzed.Comparing two groups of nursing service satisfaction,mental status was assessed using the Anxiety Self-Assessment Scale(SAS),the Depression self-rating depressive scale(SDS),the daily life power table for quality of life,the Lovingston Cognitive Function Assessment Test(LOTCA)for patients'cognitive function,and both mental status using the Simple Mental State Checklist(MMES).Results Nursing satisfaction in the experimental group was higher than control group(P<0.05);before intervention,SAS(self-rating anxiety scale),SDS()and ADL(activity of daily living)scores between groups were not significantly different(P>0.05);after intervention,SAS scores in the experimental group were lower than control group;ADL scores were higher than control group(P<0.05).There was no difference in LOTCA,MMES scores comparison between the first two groups of care(P>0.05),Higher scores after care compared to control(P<0.05).Conclusion During operation of ADA,evidence-based nursing interventions can relieve the negative emotions,accelerate the treatment progress and improve the daily living activity.It is worthy of reference.