以导向为目标的护理路径表在Stanford B型主动脉夹层支架腔内隔绝术患者中的应用效果

Application effect of guided nursing path table in patients with type Stanford B aortic dissection undergoing endovascular isolation

目的探究以导向为目标的护理路径表在Stanford B型主动脉夹层支架腔内隔绝术患者中的应用效果。方法选取江苏省人民医院2018年12月至2021年12月收治的98例Stanford B型主动脉夹层支架腔内隔绝术患者。采用奇偶分组法将其分为观察组和对照组,各49例。对照组行常规护理干预,观察组加用以导向为目标的护理路径表。比较两组术中出血量、引流时间、术后恢复时间、住院时间、术后不良事件及生活质量。结果观察组术中出血量、引流时间、术后恢复时间、住院时间均低于对照组,差异有统计学意义(P<0.05);观察组术后不良事件总发生率低于对照组,差异有统计学意义(P<0.05);两组干预后生活质量评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论以导向为目标的护理路径表在Stanford B型主动脉夹层支架腔内隔绝术患者中,提高其生活质量,改善患者的手术情况,降低患者的不良事件总发生率。

Objective To explore the application effect of guided nursing path table in patients with type Stanford B aortic dissection undergoing endovascular isolation.Methods A total of 98 patients with type Stanford B aortic dissection stent isolation were selected from Jiangsu Provincial People’s Hospital from December 2018 to December 2021.The patients were divided into observation group and control group,with 49 cases in each group.The control group received routine nursing intervention,and the observation group was given a nursing path table with guidance as the target.Operation intraoperative blood loss,drainage time,postoperative recovery time and hospital stay,postoperative adverse events and quality of life were compared between the two groups.Results The intraoperative blood loss,drainage time,postoperative recovery time and hospital stay of the observation group were lower than those of the control group,and the difference were statistically significant(P<0.05);the total incidence of postoperative adverse events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Life quality scores after intervention were higher in both groups than before intervention,and observation group was higher than control group,and the differences were statistically significant(P<0.05).Conclusion The guided nursing path table in patients with type Stanford B aortic dissection undergoing endovascular isolation,can improve the quality of life,improve the surgical situation of patients,reduce the overall incidence of adverse events.