在外周血管介入治疗患者中实施心理干预结合延续护理改善生活质量与满意度的作用

The Role of Psychological Intervention combined with Continuous Care on the Life Quality and Nursing Satisfaction among patients undergoing Peripheral Vascular Intervention Therapy

目的分析心理护理加延续护理用于外周血管介入期间对改善患者生活质量、满意度的作用。方法选择2020年1月至2022年12月在郑州市中医院开展外周血管介入的98例患者进行研究,结合随机数表法分为对照组(依据常规提供各项护理措施)与观察组(于前组基础上加以心理干预和延续护理),各49例,比较两组干预前后焦虑、抑郁及生活质量得分、并发症及满意度情况。结果干预前,两组焦虑及抑郁得分相比,差异无统计学意义(P>0.05);干预后,两组焦虑及抑郁得分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组躯体、心理、社会、认知功能以及总体生活质量方面的生活质量得分相比,差异无统计学意义(P>0.05);干预后,两组各项生活质量得分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组血肿、假性动脉瘤和动静脉瘘并发症占比低于对照组,差异有统计学意义(P<0.05)。观察组在满意度方面(97.96%)高于对照组(85.71%),差异有统计学意义(P<0.05)。结论心理护理加延续护理用于外周血管介入期间能减轻患者负面情绪,改善其生活质量,减少其并发症出现,提升其满意度,值得采用。

Objective To analyze the effect of psychological care and extended care in improving the life quality and nursing satisfaction during peripheral vascular intervention.Methods A total of 98 patients of undergoing the peripheral vascular intervention from January 2020 to December 2022 in Zhengzhou Hospital of Traditional Chinese Medicine were selected for this study.According to random number table,49 cases of taking the routine nursing measures were included in the control group;49 cases of taking the routine nursing measures,psychological intervention and continued care were included in the observation group.The anxiety,depression and life quality scores,treatment complications and satisfaction were compared between the two groups before and after intervention.Results Before intervention,the anxiety and depression scores between groups were not significantly different(P>0.05);after intervention,the anxiety and depression scores in the observation group were lower than control group,with statistically significant differences(P<0.05).Before intervention,the physical function,mental function,social function,cognitive function and total living quality scores between groups were not significantly different(P>0.05);after intervention,the life quality scores in the observation group were higher than control group,with statistically significant differences(P<0.05);the incidences of treatment complications like hematoma,false aneurysm and arterio-venous fistula in the observation group were lower than control group,and the difference was statistically significant(P<0.05);the treatment satisfaction in the observation group(97.96%)was higher than control group(85.71%),and the difference was statistically significant(P<0.05).Conclusion Psychological care combined with extended care during peripheral vascular intervention can alleviate the patients'negative emotions and the occurrence of complications,improve their life quality and nursing satisfaction.It is worthy of clinical application.