Abstract:

Objective　To study the effect of comprehensive nursing on the rehabilitation of patients undergoing cerebrovascular intervention. Methods　Sixty-eight patients who took cerebrovascular intervention in Yunfu Hospital of Traditional Chinese Medicine from January 2021 to July 2022 were selected for the randomized controlled trial. They were divided into a control group and an observation group by the random number table method, with 34 cases in each group. There were 19 males and 15 females in the control group; they were (59.34±5.50) years old. There were 18 males and 16 females in the observation group; they were (60.02±4.19) years old. The control group took routine nursing care; in addition, the observation group strengthened preventive and psychological care (comprehensive care). The incidences of postoperative complications, clinical indicators, scores of self-evaluation anxiety and depression scales, and nursing satisfaction were compared between the two groups. t and χ² tests were applied. Results　The incidence of postoperative complications in the observation group was lower than that in the control group [11.76% (4/34) vs. 41.18% (14/34)], with a statistical difference between the two groups (χ²=7.556, P=0.006). There were statistical differences in intubation duration, fasting duration, time staying in bed, and hospital stay between the control group and the observation group [(6.72±1.64) d vs. (4.81±0.89) d, (5.93±1.34) d vs. (5.01±1.21) d, (6.80±2.04) d vs. (4.15±1.21) d, and (13.05±3.60) d vs. (9.89±2.75) d; all P<0.05]. The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the control group were higher than those in the observation group [(46.42±10.31) vs. (34.73±10.98) and (44.67±9.53) vs. (35.98±8.64)], with statistical differences between the two groups (both P<0.05). The overall satisfaction rate in the control group was lower than that in the observation group [88.24% (30/34) vs. 97.06% (33/34)], with no statistical difference between the two groups (P>0.05). Conclusion　The comprehensive nursing mode is conducive to the rehabilitation of patients undergoing cerebrovascular intervention.

Key words:

Comprehensive nursing, Cerebrovascular intervention, Rehabilitation

摘要：

目的　探讨综合护理对脑血管介入术治疗患者康复的影响。方法　选取2021年1月至2022年7月在云浮市中医院行脑血管介入术治疗的患者68例进行随机对照试验，采用随机数字表法分成对照组与观察组。对照组34例，男19例，女15例，年龄（59.34±5.50）岁；观察组34例，男18例，女16例，年龄（60.02±4.19）岁。对照组进行常规护理，观察组在常规护理的基础上重点加强预防性护理与心理护理（即综合护理）。比较两组患者术后并发症发生率、临床指标情况、焦虑与抑郁自评量表评分及护理满意度。采用t、χ²检验进行统计分析。结果　观察组术后并发症发生率为11.76%（4/34），对照组为41.18%（14/34），两组比较差异有统计学意义（χ²=7.556，P=0.006）。对照组患者插管时长为（6.72±1.64）d、禁食时长为（5.93±1.34）d、卧床时长为（6.80±2.04）d、出院时长为（13.05±3.60）d，观察组分别为（4.81±0.89）d、（5.01±1.21）d、（4.15±1.21）d、（9.89±2.75）d，两组比较差异均有统计学意义（均P<0.05）。对照组焦虑自评量表（SAS）评分为（46.42±10.31）分，抑郁自评量表（SDS）评分为（44.67±9.53）分，观察组分别为（34.73±10.98）分、（35.98±8.64）分，两组比较差异均有统计学意义（均P<0.05）。对照组患者总体满意率为88.24%（30/34），观察组为97.06%（33/34），两组比较差异无统计学意义（P>0.05）。结论　综合护理模式有助于脑血管介入术治疗患者的病程康复。

关键词:

综合护理, 脑血管介入术, 康复