首页|基于症状管理策略的护理干预在颅内动脉狭窄患者支架植入术围手术期中的应用

基于症状管理策略的护理干预在颅内动脉狭窄患者支架植入术围手术期中的应用

扫码查看
目的 探讨基于症状管理策略的护理干预在颅内动脉狭窄患者支架植入术围手术期中的应用效果,以期为颅内动脉狭窄行手术治疗患者围手术期护理干预提供参考.方法 选取2021年12月-2023年1月于首都医科大学附属北京世纪坛医院接受支架植入术治疗的80例颅内动脉狭窄患者为研究对象.根据基于症状管理策略的护理干预实施时间,将2021年12月-2022年6月采用围手术期常规护理干预的39例患者作为对照组,将2022年7月-2023年1月采用基于症状管理策略的护理干预的41例患者作为观察组.比较干预前和干预2个月后2组患者疾病认知程度、健康信念、心理状态及生活质量,记录干预期间并发症发生情况.结果 干预2个月后,2组患者简版冠心病教育问卷(CADE-QSV)中疾病知识、心理知识、营养知识、危险因素、运动知识5个维度评分均高于干预前,且观察组患者高于对照组,差异均有统计学意义(P<0.05).干预2个月后,2组患者Champiom健康信念量表(CHBMS)中健康行为、严重性、益处、易感性、障碍性5个维度评分均高于干预前,且观察组患者高于对照组,差异均有统计学意义(P<0.05).干预2个月后,2组患者蒙哥马利抑郁评定量表(MADRS)及症状自评量表(SCL-90)评分均低于干预前,且观察组患者均低于对照组,差异均有统计学意义(P<0.05).干预2个月后,2组患者中国心血管病人生活质量评定问卷(CQQC)中病情、医疗状况、工作状况、体力状况、社会心理状况、一般生活6个维度评分均高于干预前,且观察组患者均高于对照组,差异均有统计学意义(P<0.05).观察组患者干预期间的并发症发生率为7.32%(3/41),低于对照组的23.07%(9/39),差异有统计学意义(x2=3.894,P=0.048).结论 基于症状管理策略的护理干预用于颅内动脉狭窄支架植入术患者围手术期,能够提高患者疾病认知程度,增强患者健康信念,改善患者心理状态及生活质量,降低并发症发生风险,改善患者预后.
Application of symptom management-based nursing intervention during perioperative period of patients with intracranial arterial stenosis undergoing stent placement
Objective To explore the effectiveness of symptom management-based nursing intervention during the periopera-tive period of patients with intracranial arterial stenosis undergoing stent placement,aiming to provide a reference for the perioperative nursing intervention of patients undergoing surgical treatment for intracranial arterial stenosis.Methods Eighty patients with intracranial arterial stenosis who underwent stent placement treatment at Beijing Shijitan Hospital,Capital Medical University from December 2021 to January 2023 were selected as the research participants.According to the implementation time of symptom management-based nursing intervention,39 patients who received routine perioperative nursing intervention from December 2021 to June 2022 were selected as the control group,and 41 patients who received symptom management-based nursing intervention from July 2022 to January 2023 were selected as the observation group.The disease cognition,health beliefs,psychological status,and quality of life of the two groups of patients were compared before and 2 months after the intervention,and the occurrence of complications during the intervention was recorded.Results Two months after the intervention,the scores of disease knowledge,psychological knowledge,nutrition knowledge,risk factors,and exercise knowledge in the Brief Coronary Artery Disease Education Questionnaire Short Version(CADE-QSV)of the two groups of patients were significantly higher than those before the intervention,and the scores of the observation group were significantly higher than those of the control group(P<0.05).Two months after the intervention,the scores of health behaviors,severity,benefits,susceptibility,and barriers in the Champion's Health Belief Model Scale(CHBMS)of the two groups of patients were higher than those before the intervention,and the scores of the observation group were high-er than those of the control group,with statistically significant differences(P<0.05).Two months after the intervention,the scores of the Montgomery-Asberg Depression Rating Scale(MADRS)and the Symptom Checklist-90(SCL-90)of the two groups of patients were lower than those before the intervention,and the scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).Two months after the intervention,the scores of disease condition,medical condition,work status,physical condition,social psychological condition,and general life in the Chinese Questionnaire on Quality of Life in Patients With Cardiovascular Disease(CQQC)of the two groups of patients were higher than those before the intervention,and the scores of the observation group were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications during the intervention in the observation group was significantly lower than that in the control group[7.32%(3/41)vs.23.07%(9/39);x2=3.894,P=0.048].Conclusion Symptom management-based nursing intervention applied during the perioperative period of patients with in-tracranial arterial stenosis undergoing stent placement surgery can promote patients'disease cognition,enhance their health beliefs,strengthen their psychological status and quality of life,reduce the risk of complications,and potentiate patients'prognosis.

Intracranial arterial stenosisStent placementPerioperative periodSymptom management strategyHealth ed-ucationDisease cognitionQuality of life

白雪、王红、高珊珊、郭霞、关峰

展开 >

首都医科大学附属北京世纪坛医院神经外科,北京 100038

颅内动脉狭窄 支架植入 围手术期 症状管理策略 健康教育 疾病认知 生活质量

北京市科技计划北京市医院管理局科研培育计划

Z2111000004170639PX2019026

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(2)
  • 28