基于时间理念的护理模式在脑动脉瘤介入治疗患者中的应用

Application of nursing model based on the time concept in patients with cerebral aneurysms

目的探讨基于时间理念的护理模式在脑动脉瘤介入治疗患者中的应用效果。方法选取2020年4月—2022年4月医院收治的脑动脉瘤介入治疗患者80例作为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组40例。对照组行常规护理,观察组于对照组基础上实施基于时间理念的护理模式。比较两组患者护理干预前后综合医院焦虑抑郁情绪测定问卷(HADS)中的抑郁(HADS-D)、焦虑(HADS-A)评分、Fugl-Meyer运动功能评分量表(FMA)评分和手术并发症发生率、格拉斯哥预后(GOS)评分。结果护理干预前,两组患者HADS-D、HADS-A、FMA的上肢运动功能和下肢运动功能评分的比较,差异无统计学意义(P>0.05);护理干预后,观察组HADS、HADS-A评分均低于对照组,差异有统计学意义(P<0.05);术后14 d,FMA的上肢运动功能和下肢运动功能评分均高于对照组,差异有统计学意义(P<0.05);手术并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组的GOS评分恢复程度优于对照组,差异有统计学意义(P<0.05)。结论基于时间理念的护理模式应用于脑动脉瘤介入治疗患者中,可有效改善其负性心理,降低手术并发症发生率,进一步改善其运动功能及预后。

Objective To explore the effect of nursing model based on the time concept in patients with cerebral aneurysm intervention.Methods 80 patients with cerebral aneurysms treated by interventional therapy in the hospital from April 2020 to April 2022 were selected as the study subjects,they were divided into control group and observation group according to the principle of comparability of basic characteristics between groups,with 40 patients in each group.The control group was given routine nursing,the observation group was given nursing model based on time concept on the basis of control group.The scores of Hospital Anxiety Depression Scale-Depression(HADS-D),Hospital Anxiety Depression Scale-Anxiety(HADS-A),Fugl-Meyer Motor Function Scale(FMA),surgical complications and Glasgow Outcome Scale(GOS)score in the General Hospital Anxiety and Depression Scale(HADS)before and after nursing intervention were compared between the two groups.Results Before the nursing intervention,comparison of upper-limb and lower-limb motor function scores of HADS-D,HADS-A,and FMA in the two groups,there was no significant difference(P>0.05);After the nursing intervention,The HADS and HADS-A scores of the observation group were lower than the control group,the difference was statistically significant(P<0.05);14 d after operation,FMA had higher upper limb motor function scores than the control group,the difference was statistically significant(P<0.05);the rate of surgical complications was lower than the control group,the difference was statistically significant(P<0.05);The recovery of GOS score in the observation group was better than the control group,the difference was statistically significant(P<0.05).Conclusion The nursing mode based on the concept of time in patients with cerebral aneurysm intervention can effectively improve their negative psychology,reduce the incidence of surgical complications,and further improve their motor function and prognosis.