Ahmadi理论下延续性护理对颅内动脉瘤介入术后患者的影响

Effects of Continuous Nursing under Ahmadi Theory on Patients after Intracranial Aneurysm Interventional Surgery

目的:探讨Ahmadi理论下的延续性护理对颅内动脉瘤介入术后患者服药依从性及预后的影响。方法:将2021年5月1日~10月31日收治的41例颅内动脉瘤介入术患者纳入对照组,给予常规护理;2021年11月1日~2022年5月31日收治的41例颅内动脉瘤介入术患者纳入观察组,给予Ahmadi理论下的延续性护理。比较干预前后两组服药依从性[采用服药依从性量表(MAS)]、健康行为[采用健康行为能力自评量表(SRAHP)]、心理弹性[采用心理弹性量表(CD-RISC)]、生活质量[采用欧洲癌症患者生活质量量表(EORTCQLQ-C30)]、并发症发生情况(脑血管痉挛、脑梗死、动脉瘤破裂、脑动脉血栓)。结果:干预后,两组MAS、SRAHP及CD-RISC评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预后,两组EORTCQLQ-C30评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论:Ahmadi理论下的延续性护理能提高颅内动脉瘤介入术患者服药依从性、健康行为能力及心理弹性,改善患者生活质量,降低并发症发生率。

Objective:To explore the effects of continuous nursing under Ahmadi theory on medication compliance and prognosis of patients after intracranial aneurysm interventional therapy.Methods:41 patients with intracranial aneurysms who underwent interventional surgery between May 1 and October 31,2021 were included in the control group and received routine nursing.41 patients who underwent interventional surgery for intracranial aneurysms admitted from November 1,2021 to May 31,2022 were included in the observation group and received continuous nursing under the Ahmadi theory.The medication compliance[Medication Adherence Scale(MAS)],health behaviors[Self-Rated Abilities for Health Practices Scale(SRAHP)],psychological resilience[Connor-Davidson Resilience Scale(CD-RISC)]and quality of life[European Organization for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer Patients(EORTCQLQ-C30)]were compared between two groups before and after intervention.The occurrence of complications of the two groups were recorded during intervention.Results:After intervention,the MAS,SRAHP,and CD-RISC scores of both groups were higher than those before intervention(P<0.05),and the scores of observation group was higher than those of the control group(P<0.05).After intervention,the EORTCQLQ-C30 scores of both groups were lower than those before intervention(P<0.05),and the observation group has lower scores than the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Continuous nursing under Ahmadi theory can enhance the medication compliance,health behavior ability and psychological resilience,improve the quality of life and reduce the incidence rates of complications of patients with intracranial aneurysm interventional therapy.