多学科协作模式护理对颅内动脉瘤弹簧圈栓塞手术患者生活质量及精神状态的影响

Effect of multidisciplinary collaborative nursing care on the quality of life and mental state of patients undergoing intracranial aneurysm

目的探讨分析多学科协作模式护理对颅内动脉瘤弹簧圈栓塞手术(CIA)患者生活质量及精神状态的影响。方法选取2019年5月至2021年5月南京医科大学附属南京医院接受CIA治疗的100例颅内动脉瘤患者,采用随机数字表法分为对照组和观察组,每组各50例。对照组围手术期采用常规护理,观察组加用多学科协作模式护理,均连续护理1周。记录两组伤口愈合时间、住院时间等指标;护理前、护理1周时,使用生活质量综合评定问卷-74(GQOLI-74)评估两组生活质量情况;使用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者精神状态;记录两组并发症。结果观察组伤口愈合时间和住院时间短于对照组,差异有统计学意义(P<0.05)。护理1周时,两组GQOLI-74各维度评分及总分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理1周时,两组SAS、SDS评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组穿刺点局部血肿等并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论多学科协作模式护理更利于提高颅内动脉瘤CIA患者的生活质量和精神状态,利于减少并发症发生率。

Objective To explore and analyze the impact of multidisciplinary collaborative nursing care on the quality of life and mental state of patients undergoing coiled intracranial aneurysm(CIA)surgery.Methods A total of 100 patients with intracranial aneurysm who received CIA treatment in Nanjing Hospital of Nanjing Medical University from May 2019 to May 2021 were randomly divided into control group and observation group,with 50 cases in each group.The control group received routine nursing care during the perioperative period,while the observation group used multi disciplinary collaborative nursing care,both of which were continuously nursing for a week.The wound healing time,hospitalization time,and other indicators of the two groups were recorded;before nursing and a week after nursing,the generic quality of life inventory-74(GQOLI-74)was used to assess the quality of life of the two groups;the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were used to assess the mental state of patients;the complications of the two groups were recorded.Results The wound healing time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At a week of nursing,the GQOLI-74 scores and total scores of the two groups were higher than those before nursing,while the observation group was higher than the control group,and the differences were statistically significant(P<0.05).At a week of nursing,the scores of SAS and SDS in the two groups were lower than those before nursing,while the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of complications such as local hematoma at the puncture point in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Multidisciplinary collaborative care is more conducive to improving the quality of life and mental state of patients with intracranial aneurysm CIA,and is conducive to reducing the incidence of complications.