循证理论下的预见性护理对颅内动脉瘤患者介入治疗后康复效果的影响

摘要:

目的：颅内动脉瘤患者介入术后的负面情绪、并发症等康复情况亟待改善，本研究旨在探究循证理论下的预见性护理对颅内动脉瘤患者介入治疗后康复效果的影响。方法：将安徽医科大学附属安庆第一人民医院2021年3月至2023年5月神经外科收治的81例颅内动脉瘤患者采用随机信封法分为常规组（n=40）和循证组（n=41）：常规组围手术期给予常规护理措施，循证组给予循证理论下的预见性护理措施，采用t检验和χ²检验比较2组患者基线资料；采用t检验比较2组患者不良情绪[焦虑自评量表（Self-rating Anxiety Scale,SAS）和抑郁自评量表（Self-rating Depression Scale,SDS）评分]；采用χ²检验比较组间护理满意度、并发症发生率。结果：2组患者基线资料差异均无统计学意义（均P>0.05）；给予护理措施后，循证组SAS和SDS评分均低于常规组（均P<0.05）；循证组护理满意度高于常规组（P<0.05）；循证组并发症总发生率低于常规组（P<0.05）。结论：循证理论下的预见性护理可更好地缓解患者不良情绪，提高护理满意度，减少术后并发症发生率，值得在临床推广。

Abstract:

ObjectiveThe rehabilitation of patients after interventional treatment for intracranial aneurysms, including negative emotions and complications, needs improvement. This study aims to explore the impact of evidence-based predictive nursing on rehabilitation outcomes in these patients.MethodsFrom March 2021 to May 2023, 81 patients with intracranial aneurysms treated at the Department of Neurosurgery of Anqing First People’s Hospital of Anhui Medical University were randomly divided into a control group (n=40) and an evidence-based group (n=41) using a random envelope method. The control group received routine perioperative nursing care for interventional surgery, while the evidence-based group received predictive nursing based on evidence-based theories. Baseline data between the 2 groups were compared using t-tests and χ² tests. The Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores were compared between the groups using t-tests. Nursing satisfaction and complication rates were compared using χ² tests.ResultsThere were no statistically significant differences in baseline data between the 2 groups (P>0.05). After nursing interventions, SAS and SDS scores in the evidence-based group were lower than those in the control group (both P<0.05). Nursing satisfaction was higher in the evidence-based group compared to the control group (P<0.05). The total incidence of complications was lower in the evidence-based group compared to the control group (P<0.05).ConclusionEvidence-based predictive nursing can effectively alleviate negative emotions, enhance nursing satisfaction, and reduce the incidence of postoperative complications in patients undergoing interventional treatment for intracranial aneurysms. It is worth promoting in clinical practice.