快速康复护理在颅内动脉瘤破裂患者围术期的应用效果观察

Observation on the Application Effect of Rapid Rehabilitation Nursing during Perioperative Period of Patients with Ruptured Intracranial Aneurysm

目的分析快速康复护理在颅内动脉瘤破裂患者围术期护理中的应用效果。方法选取2019年1月—2020年9月该院收治的80例行手术治疗的颅内动脉瘤破裂患者进行研究,随机分为对照组与实验组,每组40例。对照组围术期行常规护理,实验组围术期行快速康复护理。对比两组护理效果。结果实验组治疗后改良Barthel指数(MBI)评分为(7.56±1.48)分,明显高于对照组的(5.36±0.41)分,差异有统计学意义(P<0.05)。治疗后,实验组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,组间差异有统计学意义(P<0.05)。实验组住院时间显著短于对照组,疼痛评分明显低于对照组,护理满意度高于对照组,组间差异有统计学意义(P<0.05)。实验组术后低颅压综合征、肺部感染、其他感染发生率均低于对照组,组间差异有统计学意义(P<0.05)。结论在颅内动脉瘤破裂患者围手术期实施快速康复护理,可有效提高手术效果,促进患者康复,值得推广应用。

Objective To analyze the application effect of rapid rehabilitation nursing during perioperative period of patients with ruptured intracranial aneurysm.Methods 80 patients with ruptured intracranial aneurysms treated in this hospital from January 2019 to September 2020 were selected for the study.According to the randomized grouping method,they were divided into a control group and an experimental group,with 40 cases in each group.The control group received routine nursing during the perioperative period,and the experimental group received rapid rehabilitation nursing during the perioperative period.The nursing effects of the two groups were compared.Results After treatment,the modified barthel index(MBI)score of the experimental group was(7.56±1.48)points,which was significantly higher than(5.36±0.41)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the experimental group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).The hospital stay of the experimental group was significantly shorter than that of the control group,the pain score was significantly lower than that of the control group,and the nursing satisfaction was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).The incidences of postoperative low intracranial pressure syndrome,lung infection,and other infections in the experimental group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The implementation of rapid rehabilitation nursing for patients with ruptured intracranial aneurysm during the perioperative period can effectively improve the surgical effect and promote the recovery of patients.It is worthy of popularization and application.