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