成都医学院学报2025,Vol.20Issue(1) :110-113.DOI:10.3969/j.issn.1674-2257.2025.01.025

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

Effect of Prospective Precision Nursing Strategies on Blood Pressure,Pain,and Long-Term Prognosis in Patients Undergoing Aortic Dissection Aneurysm Surgery

张晓雅 孙明飞 田苗苗
成都医学院学报2025,Vol.20Issue(1) :110-113.DOI:10.3969/j.issn.1674-2257.2025.01.025

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

Effect of Prospective Precision Nursing Strategies on Blood Pressure,Pain,and Long-Term Prognosis in Patients Undergoing Aortic Dissection Aneurysm Surgery

张晓雅 1孙明飞 1田苗苗1
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作者信息

  • 1. 河南大学第一附属医院心血管外科(开封 475000)
  • 折叠

摘要

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.

Abstract

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.

关键词

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

Key words

Prospective precision nursing strategy/Aortic dissection aneurysm/Blood pressure management/Pain relief/Long-term prognosis

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出版年

2025
成都医学院学报
成都医学院

成都医学院学报

CSTPCD
影响因子:0.933
ISSN:1674-2257
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