首页|前瞻性精准护理策略对主动脉夹层动脉瘤手术患者的血压、疼痛及长期预后的影响

前瞻性精准护理策略对主动脉夹层动脉瘤手术患者的血压、疼痛及长期预后的影响

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目的 研究前瞻性精准护理策略对主动脉夹层动脉瘤(ADA)手术患者血压管理、疼痛缓解及长期预后的促进作用。方法 选取2021年1月至2023年12月在河南大学第一附属医院诊治的109例ADA手术患者为研究对象,按照随机数字表法,分为对照组(常规护理策略,55例)和研究组(前瞻性精准护理策略,54例),比较两组血压管理、疼痛、不良情绪缓解、长期预后和并发症发生情况。结果 与干预前比较,两组干预后收缩压(SBP)、舒张压(DBP)降低(P<0。05),与对照组比较,研究组干预后SBP、DBP更低(P<0。05)。与干预前比较,两组干预后VAS、SDS、SAS评分降低(P<0。05);与对照组比较,研究组干预后VAS、SDS、SAS评分更低(P<0。05)。与干预前比较,两组干预后SF-36各维度(生理功能、生理职能、情感职能、躯体疼痛、精神健康、社会功能、一般健康状况、精力)评分升高(P<0。05);与对照组比较,研究组干预后SF-36各维度评分更高(P<0。05)。研究组总并发症发生率(5。56%)比对照组(25。45%)更低(P<0。05)。结论 前瞻性精准护理策略应用于ADA手术患者,可控制血压,减轻疼痛,缓解不良情绪,提高生活质量,降低并发症。
Effect of Prospective Precision Nursing Strategies on Blood Pressure,Pain,and Long-Term Prognosis in Patients Undergoing Aortic Dissection Aneurysm Surgery
Objective To investigate the promoting effect of prospective precision nursing strategies on the blood pressure management,pain relief,and long-term prognosis in patients undergoing aortic dissection aneurysm(ADA)surgery.Methods A total of 109 patients who underwent ADA surgery in the First Affiliated Hospital of Henan University from January 2021 to December 2023 were selected and divided into a control group(intervened with routine nursing strategy,n=55)and an experimental group(intervened with prospective precision nursing strategy,n=54)using a random number table method.Blood pressure management,pain and emotional relief,long-term prognosis,and complications were compared between the two groups.Results After intervention,the systolic blood pressure(SBP)and diastolic blood pressure(DBP)in both groups were lower than those before intervention(P<0.05),and the above indicators in the experimental group were lower than those in the control group(P<0.05).After intervention,the Visual Analogue Scale(VAS),Self-rating Depression Scale(SDS),and Self-rating Anxiety Scale(SAS)scores in both groups were lower than those before intervention(P<0.05),and the above indicators in the experimental group were lower than those in the control group(P<0.05).After intervention,the scores of SF-36 in all dimensions(physical functioning,role-physical,role-emotional,bodily pain,mental health,social functioning,general health,vitality)in both groups increased compared with those before intervention,and the above indicators in the experimental group were higher than those in the control group(P<0.05).The total incidence of complications in the experimental group(5.56%)was lower than that in the control group(25.45%)(P<0.05).Conclusion Prospective precision nursing strategies applied to patients undergoing ADA surgery can control blood pressure,alleviate pain,alleviate negative emotions,improve quality of life,and reduce complications.

Prospective precision nursing strategyAortic dissection aneurysmBlood pressure managementPain reliefLong-term prognosis

张晓雅、孙明飞、田苗苗

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河南大学第一附属医院心血管外科(开封 475000)

前瞻性精准护理策略 主动脉夹层动脉瘤 血压管理 疼痛缓解 长期预后

2025

成都医学院学报
成都医学院

成都医学院学报

影响因子:0.933
ISSN:1674-2257
年,卷(期):2025.20(1)