路径化护理干预在脑动静脉畸形患者栓塞介入治疗中的应用分析

Application Analysis of Pathway Nursing Intervention in Embolization Interventional Therapy of Cerebral Arteriovenous Malformation Patients

目的分析在脑动静脉畸形患者栓塞介入治疗中采取路径化护理干预的临床效果。方法选取2019年8月至2021年10月于我院就诊的61例行栓塞介入治疗的脑动静脉畸形患者随机分为对照组(30例)与试验组(31例),对照组患者采用常规护理,试验组患者给予路径化护理干预,在护理前后分别对患者进行应激指标的监测与心理状态的测量,观察两组患者的手术效果以及不良反应,将研究结果逐一进行统计学比较。结果试验组患者手术前的舒张压与收缩压水平与对照组比较无显著性差异,P>0.05;试验组患者手术后的舒张压与收缩压水平均明显低于对照组,差异显著,P<0.05。在心率水平对比上,两组护理前后均无明显差异(P>0.05)。在不良情绪的对比中,试验组患者手术后的焦虑SAS评分为(30.80±5.70)分,抑郁SDS评分为(33.50±6.20)分,明显低于对照组的(36.90±7.40)分、(43.80±8.50)分,组间对比差异显著,P<0.05。试验组患者睡眠障碍发生率为9.68%,腰酸背痛发生率为9.68%,均显著低于对照组的53.33%、40.00%,具有统计学意义(P<0.05)。在SF-36生活质量评分中,护理后,8项指标中试验组患者的评分结果均高于对照组,差异显著(P<0.05)。结论针对脑动静脉畸形患者采用路径化护理干预不仅能够缓解其紧张情绪,减少手术应激反应,也能抑制手术不良反应的发生。

Objective To analyze the clinical effect of pathway nursing intervention in embolization interventional therapy of cerebral arteriovenous malformation.Methods We randomly divided 61 patients who received interventional embolization therapy from August 2019 to 2021 October 2019 into the control group(30 cases)and the experimental group(31 cases).The patients in the control group were given routine nursing,the patients in the experimental group were given pathway nursing intervention,and the stress index and psychological state of the patients were monitored before and after the operation,statistical comparisons were made one by one.Results Compared with the control group,the diastolic and systolic blood pressure levels of the experimental group before surgery had no significant difference,P>0.05;the diastolic and systolic blood pressure levels of the experimental group after surgery were significantly lower than those of the control group,the difference was significant,P<0.05.There was no significant difference in heart rate between the two groups before and after surgery(P>0.05).The scores of SAS and SDS of depression were(30.80±5.70)and(33.50±6.20),significantly lower than the control group(36.90±7.40)points,(43.80±8.50)points,the difference between the groups was significant,P<0.05.The incidence of sleep disorder and backache in the experimental group was 9.68%and 9.68%,both were significantly lower than 53.33%and 40.00%of the control group,with statistical significance(P<0.05).In the SF-36 quality of life scale,after nursing,the patients in the experimental group scored higher than the control group,the difference was statistically significant(P<0.05).Conclusion Pathway nursing intervention for patients with cerebral arteriovenous malformation can not only relieve their tension,reduce the stress reaction during operation,but also inhibit the occurrence of adverse reactions during operation.