以患者需求为导向的循证护理在颈动脉狭窄支架置入术患者中的应用
Application of Evidence-based Nursing with Orientation of Patient's Needs in the Treatment of Carotid Artery Stenosis by Stent Implantation
巴南南 1王斐 1贾彦青 1吴言歌1
作者信息
- 1. 郑州大学第一附属医院 河南郑州 450000
- 折叠
摘要
目的:探讨以患者需求为导向的循证护理在颈动脉狭窄支架置入术患者中的应用效果.方法:选取 2022 年 3 月 1 日～2023 年 3 月 1 日收治的 142 例颈动脉狭窄患者为研究对象,按照抽签法分为观察组和对照组各 71 例,对照组实施常规围术期护理模式,观察组在对照组基础上实施以患者需求为导向的循证护理模式;比较两组卧床时间、住院时间、并发症、自护能力[采用自我护理能力测定量表(ESCA)]、负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)].结果:观察组康复时间短于对照组(P<0.01);观察组并发症总发生率低于对照组(P<0.05);干预后,两组ESCA评分高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后,两组SAS、SDS评分低于干预前(P<0.05),且观察组低于对照组(P<0.01).结论:以患者需求为导向的循证护理能够有效缩短患者卧床及住院时间,减少术后并发症的发生,增强其自护能力,从而缓解负性情绪.
Abstract
Objective:To explore the effect of evidence-based nursing with orientation of patient's needs in the treatment of carotid artery stenosis by stent implantation.Methods:A total of 142 patients undergoing stent implantation admitted from March 1,2022 to March 1,2023 were selected as the research objects.By drawing lots,they were divided into the observation group and the control group wtih 71 cases in each group.The patients in the control group received routine perioperative nursing care,while patients in the observation group were provided evidence-based nursing with orientation of patient's needs.Bed rest and hospital stay,complications,self-care ability(ESCA),negative emo-tions(SAS,SDS)were compared between the two groups.Results:The rehabilitation time of the observation group was shorter than that of the control group(P<0.01).The incidence of complications in the observation group was lower than that in the control group(P<0.05).After in-tervention,the ESCA scores of the two groups were higher than those before intervention(P<0.05),and the ESCA scores of the observation group were higher than those of the control group(P<0.01).The SAS and SDS scores of the two groups were lower after intervention than those before intervention(P<0.05),and the scores of the observation group were lower than the control group(P<0.01).Conclusions:The evidence-based nursing with orientation of patient's needs can effectively shorten the time of bed rest and hospitalization of patients,reduce the occurrence of postoperative complications,enhance their self-care ability and relieve negative emotions.
关键词
患者需求/循证护理/颈动脉狭窄支架置入术/自护能力/负性情绪Key words
Patients' needs/Evidence-based nursing/Carotid artery stenosis stenting/Self-care ability/Negative emotions引用本文复制引用
出版年
2024
NETL
NSTL
万方数据