Kano模式的护理干预策略在前循环颅内动脉瘤患者术后的应用

Application of Nursing Intervention Strategy of Kano Mode in Postoperative Patients with Anterior Circulation Intracranial Aneurysm

目的探讨Kano模式的护理干预策略在前循环颅内动脉瘤患者术后的应用效果。方法选取郑州大学第一附属医院2019年1月至2020年9月前循环颅内动脉瘤患者85例,2019年1月至2019年10月为对照组,2019年11月至2020年9月为Kano组,对照组采用常规护理,Kano组在常规护理基础上予以Kano模式的护理干预策略。比较两组干预前后日常生活能力(Barthel)、神经功能缺损状况(NIHSS)、抑郁(BDI-21)、焦虑(BAI)情绪、舒适度(GCQ)、生活质量(SF-36)及护理服务满意度。结果干预后Kano组Barthel评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(P<0.05);干预后Kano组BDI-21评分、BAI评分低于对照组,差异有统计学意义(P<0.05);干预后Kano组GCQ评分高于对照组,差异有统计学意义(P<0.05);干预后观察组SF-36评分高于对照组,差异有统计学意义(P<0.05);Kano组护理服务满意度95.35%高于对照组76.19%,差异有统计学意义(P<0.05)。结论Kano模式的护理干预能改善前循环颅内动脉瘤术后患者神经功能及日常生活能力,缓解其负性情绪,同时能增强患者护理服务满意度。

Objective To explore the effect of nursing intervention strategy of Kano mode in patients with anterior circulation intracranial aneurysm after operation.Methods A total of 85 patients with precirculation intracranial aneurysms in the First Affiliated Hospital of Zhengzhou University from January 2019 to September 2020 were selected.From January 2019 to October 2019 were selected as the control group,from November 2019 to September 2020were selected as the Kano group.The control group received routine nursing.Kano group was given nursing intervention strategy of Kano mode on the basis of routine nursing.Barthel,NIHSS,BDI-21,BAI,GCQ,SF-36 and nursing service satisfaction were compared between the two groups before and after intervention.Results After intervention,Barthel score in Kano group was higher than that in control group,NIHSS score was lower than that in control group,the differences were statistically significant(P<0.05).After intervention,BDI-21 score and BAI score in Kano group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,The GCQ score of Kano group was higher than that of control group,and the difference was statistically significant(P<0.05).After intervention,the SF-36 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Nursing service satisfaction in Kano group was 95.35%higher than 76.19%in control group,and the difference was statistically significant(P<0.05).Conclusion Kano model nursing intervention can improve the neurological function and daily living ability of patients after anterior circulation intracranial aneurysm surgery,relieve their negative emotions,and enhance the satisfaction of patient nursing service.