同伴参与式护理对脑动脉瘤栓塞治疗患者护理效果及医学应对方式的影响

Effect of Peer Participatory Nursing on Nursing Effect and Medical Coping Stylefor Cerebral Aneurysm Patients with Embolization Treatment

目的探讨对脑动脉瘤栓塞治疗的患者实施同伴参与式护理的价值,总结同伴参与式护理对患者医学应对方式的影响。方法选取2019年1月-2022年3月在我院进行治疗的脑肿瘤栓塞患者71例,将其以随机数字表法分为观察组(n=35)和对照组(n=36),对照组采用常规护理,观察组在对照组基础上开展同伴参与式护理干预,比较两组患者日常生活能力水平(ADL)、6 min步行距离、医学应对方式、并发症发生率及护理满意度。结果观察组ADL评分、6 min步行距离高于对照组,差异有统计学意义(P<0.05);观察组回避、屈服维度评分均低于对照组,应对维度评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.57%,低于对照组的19.44%(P<0.05);观察组护理满意度(97.14%)高于对照组(83.33%)(P<0.05)。结论同伴参与式护理干预应用于脑动脉瘤栓塞治疗患者中具有显著的护理效果,可改善医学应对方式,提高护理满意度,降低并发症发生率,提升日常生活能力水平,增加6 min步行距离,改善患者的预后。

Objective To explore the value of peer participatory nursing in cerebral aneurysm patients with embolization treatment,and to summarize the influence of peer participatory nursing on patients'medical coping style.Methods A total of 71 cerebral aneurysm patients with embolization treatment who were treated in our hospital from January 2019 to March 2022 were selected and divided into observation group(n=35)and control group(n=36)by random number table method.The control group was given routine nursing,while the observation group was given peer participatory nursing intervention on the basis of the control group.The activities of daily living(ADL),6-minute walking distance,medical coping style,complication rate and nursing satisfaction were compared between the two groups.Results The ADL score and 6-minute walking distance in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of avoidance and yield dimensions in the observation group were lower than those in the control group,and the score of coping dimension was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 8.57%,which was lower than 19.44%in the control group(P<0.05).The nursing satisfaction of the observation group(97.14%)was higher than that of the control group(83.33%)(P<0.05).Conclusion Peer participating nursing intervention has a good nursing effect in cerebral aneurysm patients with embolization treatment,which can improve their medical coping style,improve nursing satisfaction,reduce the incidence of complications,improve the level of daily living ability,increase the 6-minute walking distance,and improve the prognosis of patients.