4F管理联合前馈控制对颅内动脉瘤术后患者近期康复效果的影响

Effect of 4F management combined with feed-forward control on the recent rehabilitation of patients after intracranial aneurysm surgery

目的 分析全天候(full weather)、全过程(full process)、全系统(full system)和全方位(full service)4F管理联合前馈控制对颅内动脉瘤手术患者术后近期康复效果的影响,为改善患者术后近期预后提供参考。方法 选取2019年8月—2022年8月在医院接受手术治疗的120例颅内动脉瘤手术患者为研究对象,按照组间基线资料具有可比性的原则将其分为对照组和观察组,每组60例。对照组在常规护理基础上应用4F管理干预,观察组应用4F管理联合前馈控制护理干预。比较两组患者术后并发症发生率,采用焦虑自评量表(Self Rating Anxiety Scale,SAS)、抑郁自评量表(Self Rating Depression Scale,SDS)、简化Fugl-Meyer运动功能量表(The Fugl-Meyer Motor Assessment,FMA)和生活质量综合评定问卷(Generic Quality of Life Inventory-74,GQOL-74)分别评价两组患者干预前后焦虑、抑郁、运动功能、生活质量情况。结果 干预后,观察组患者SAS评分、SDS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者FMA、GQOL-74评分高于对照组,差异有统计学意义(P<0.05)。结论 颅内动脉瘤手术患者实施4F管理联合前馈控制干预,能够减轻患者焦虑情绪,减少术后并发症的发生,提升术后运动功能及生活质量,改善患者术后近期康复效果。

Objective To analyze the impact of full weather,full process,full system,and full service 4F management combined with feed-forward control on the recent postoperative rehabilitation of patients undergoing intracranial aneurysm surgery,and to provide reference for improving the recent postoperative prognosis of patients.Methods A total of 120 patients undergoing intracranial aneurysm surgery in hospital from August 2019 to August 2022 were selected.Following the principle of comparability of baseline data between groups,they were divided into a control group and an observation group,with 60 cases each.The control group implemented 4F management intervention on the basis of routine nursing,while the observation group implemented 4F management combined with feed-forward control nursing intervention.The incidence of postoperative complications was compared between the two groups of patients.Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),simplified Fugl-Meyer Motor Assessment(FMA)and Generic Quality of Life Inventory-74(GQOL-74)were used to evaluate anxiety,depression,motor function,and quality of life before and after intervention in each group.Results After intervention,the SAS and SDS scores of patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications of patients in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After intervention,the FMA and GQOL-74 scores of patients in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of 4F management combined with feed-forward control intervention in patients undergoing intracranial aneurysm surgery can alleviate patients'anxiety,reduce the occurrence of postoperative complications,improve postoperative motor function and quality of life,and enhance the patient's recent postoperative rehabilitation effect.