血压控制结合阶梯式护理在脑动脉瘤介入术后护理中的应用

Application of blood pressure control combined with stepped care in postoperative nursing of cerebral aneurysm after interventional therapy

目的分析血压控制结合阶梯式护理在脑动脉瘤介入术后护理中的应用效果。方法选取聊城市人民医院2022年1~12月收治的126例脑动脉瘤患者,根据随机信封法分为观察组(63例)和对照组(63例),2组均接受脑动脉瘤介入术治疗及血压控制干预,观察组加用阶梯式护理。对比2组的并发症发生率、出院时恢复情况,以及干预前后血压和应对方式变化。结果观察组的术后并发症总发生率较对照组更低(P<0.05)。观察组出院时的恢复情况比对照组更佳(P<0.05)。2组在干预7 d后的收缩压、舒张压均较干预前下降,观察组在干预7 d后的收缩压、舒张压均低于对照组,均有统计学差异(P均<0.05)。2组在干预7 d后的姑息、逃避、宿命和依靠自我评分均较干预前下降,乐观、面对、寻求支持、情感宣泄评分均较干预前升高,观察组的上述评分均优于对照组,均有统计学差异(P均<0.05)。结论在血压控制的基础上结合阶梯式护理有助于降低脑动脉瘤介入术后并发症发生率,改善患者预后,且能够在有效控制血压的同时提高患者应对疾病的积极性。

Objective To analyze the application effect of blood pressure control combined with stepped care in postoperative nursing of cerebral aneurysm after interventional therapy.Methods A total of 126 patients with cerebral aneurysm admitted to Liaocheng People's Hospital from January to December 2022 were randomly divided into an observation group(63 cases)and a control group(63 cases)using the random envelope method.Both groups received interventional therapy for cerebral aneurysm and blood pressure control intervention,while the observation group received stepped care additionally.The incidence of complications,recovery situation at discharge,and changes in blood pressure and coping style before and after intervention were compared between the two groups.Results The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The recovery situation of the observation group at discharge was better than that of the control group(P<0.05).After 7 days of intervention,the systolic and diastolic blood pressure of both groups decreased compared to before intervention.The observation group had lower systolic and diastolic blood pressure than the control group after 7 days of intervention,with statistical differences(P<0.05).After 7 days of intervention,the scores of appeasement,avoidance,destiny,and self-reliance in both groups decreased compared to before intervention,while the scores of optimism,facing,seeking support,and emotional release increased compared to before intervention.The above scores of the observation group were all better than those of the control group,with statistical differences(all P<0.05).Conclusion Combining stepped care with blood pressure control can help reduce the incidence of complications after interventional surgery for cerebral aneurysm,improve the prognosis of patients,and effectively control blood pressure while increasing patientsmotivation to cope with the disease.