个性化心理护理对3D打印血管外支架植入术治疗胡桃夹综合征患者疾病不确定感及预后影响

Impact of personalized psychological care on disease uncertainty and prognosis in patients with nutcracker syndrome treated with 3D printed extravascular stent implantation

目的探讨个性化心理护理对3D打印血管外支架植入术治疗胡桃夹综合征患者疾病不确定感及预后的影响。方法选取2019年12月至2021年9月在中国人民解放军空军军医大学第二附属医院接受3D打印血管外支架植入术的72例胡桃夹综合征患者作为研究对象,按照随机数字表法将患者分为对照组和观察组,各36例。对照组实施常规护理,观察组实施个性化心理护理。比较护理前后两组疾病不确定感、心理状态、疼痛、舒适度及睡眠质量评分。结果护理后,两组疾病不确定感、焦虑、抑郁评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后,两组疼痛评分、睡眠质量评分低于护理前,且观察组低于对照组;两组舒适度评分高于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论个性化心理护理可有效改善胡桃夹综合征患者在3D打印血管外支架植入术围手术期的心理状态,减轻其疾病不确定感,并减轻疼痛感,提升躯体舒适度,改善睡眠质量。

Objective To investigate the impact of personalized psychological care on disease uncertainty and prognosis in patients with 3D printed extravascular stent implantation for nutcracker syndrome.Methods Seventy-two patients with nutcracker syndrome who underwent 3D printed extravascular stent implantation at the Second Affiliated Hospital of the Chinese People’s Liberation Army Air Force Military Medical University from December 2019 to September 2021 were selected for the study,and the patients were divided into control group and observation group of 36 cases each according to the random number table method.The control group implemented conventional care,while the observation group implemented personalized psychological care.Comparison of disease uncertainty,psychological status,pain,comfort,and sleep quality scores between the two groups was carried out before and after care.Results After care,the disease uncertainty,anxiety,and depression scores of both groups were lower than before care,while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After care,the pain scores and sleep quality scores of both groups were lower than before care,while those of the observation group were lower than those of the control group;the comfort scores of both groups were higher than before care,and while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Personalized psychological care can effectively improve the psychological status of patients with nutcracker syndrome during the perioperative period of 3D printed extravascular stent implantation,reduce their disease uncertainty,and alleviate pain,enhance somatic comfort and improve sleep quality.