Abstract:

Objective　To explore the role of empathy technology based on bio-psycho-social system in the perioperative period of intracranial aneurysm. Methods　This study was a randomized controlled study. A total of 105 patients with intracranial aneurysm treated by interventional embolization in Wuxi Second People's Hospital from February 2020 to February 2022 were prospectively selected as the research objects, and they were divided into an observation group [52 cases, 27 males and 25 females, aged (63.72±8.98) years, with the diameter of the aneurysm of (6.02±1.23) mm] and a control group [53 cases, 30 males and 23 females, aged (62.36±8.75) years, with the diameter of the aneurysm of (5.86±1.17) mm] by the random number table method. The patients in the control group were given conventional nursing mode, and the patients in the observation group were given empathy technology based on bio-psycho-social system on the basis of the control group. The adverse emotions and treatment compliance before and after nursing, postoperative rehabilitation indexes, complications, and satisfaction of patients and their families were compared between the two groups. t test was used for the measurement data, χ² test and Fisher exact probability method were used for the count data. Results　The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) [(39.16±7.96) points, (48.13±9.75) points, (42.58±8.63) points, and (49.62±9.96) points] in the two groups 7 d after surgery were lower than those before surgery [(58.12±11.89) points, (59.56±12.31) points, (57.78±11.69) points, and (56.52±11.45) points] (all P<0.05). Moreover, those in the observation group [(39.16±7.96) points and (42.58±8.63) points] were lower than those in the control group [(48.13±9.75) points and (49.62±9.96) points] (both P<0.05). The hospitalization time in the observation group [(9.13±1.95) d] was shorter than that in the control group [(11.26±2.32) d] (P<0.05). There were no statistically significant differences in the Glasgow Outcome Scale (GOS) score [(4.36±0.86) points vs. (4.62±0.92) points] and complication rate [9.62% (5/52) vs. 22.64% (12/53)] between the two groups (both P>0.05). Before discharge, the scores of medication adherence [(92.23±20.50) points and (83.46±18.55) points], daily exercise [(89.58±19.91) points and (80.62±17.92) points], diet management [(90.69±14.14) points and (81.45±18.10) points], and adverse management [(87.69±19.49) points and (78.45±17.43) points] in the two groups were higher than those before nursing [(58.32±12.96) points, (56.16±12.48) points, (62.78±13.95) points, (61.82±13.74) points, (60.68±13.48) points, (59.21±13.16) points, (49.68±11.04) points, and (50.21±11.16) points] (all P<0.05). Moreover, those in the observation group [(92.23±20.50) points, (89.58±19.91) points, (90.69±14.14) points, and (87.69±19.49) points] were higher than those in the control group [(83.46±18.55) points, (80.62±17.92) points, (81.45±18.10) points, and (78.45±17.43) points] (all P<0.05). The satisfaction scores of patients and their families in the observation group [(96.25±19.25) points and (95.26±19.05) points] were higher than those in the control group [(88.05±17.61) points and (87.45±17.49) points] (both P<0.05). Conclusion　Empathy technology based on the bio-psycho-social system can effectively improve the clinical efficacy in patients with intracranial aneurysm in the perioperative period, improve their anxiety and depression, improve the treatment compliance and the satisfaction of patients and their families, and reduce the incidence of postoperative complications.

Key words:

Intracranial aneurysm, Interventional embolization, Perioperative period, Bio-psycho-social system, Empathy technology

摘要：

目的　探讨基于生物-心理-社会系统的共情技术在颅内动脉瘤围手术期的作用。方法　本研究为随机对照试验，前瞻性选取无锡市第二人民医院2020年2月至2022年2月收治的105例行介入栓塞术治疗的颅内动脉瘤患者作为研究对象，利用随机数字表法分为观察组［52例，男27例、女25例，年龄（63.72±8.98）岁，动脉瘤长径（6.02±1.23）mm］与对照组［53例，男30例、女23例，年龄（62.36±8.75）岁，动脉瘤长径（5.86±1.17）mm］。对照组患者给予常规护理模式，观察组患者在对照组的基础上给予基于生物-心理-社会系统的共情技术。比较两组患者护理前后不良情绪和治疗依从性以及术后康复指标、并发症发生情况和患者及家属满意度。计量资料采用t检验，计数资料采用χ²检验和Fisher确切概率法。结果　术后7 d，两组焦虑自评量表（SAS）和抑郁自评量表（SDS）评分［（39.16±7.96）分、（48.13±9.75）分和（42.58±8.63）分、（49.62±9.96）分］均较术前降低［（58.12±11.89）分、（59.56±12.31）分和（57.78±11.69）分、（56.52±11.45）分］（均P<0.05），且观察组［（39.16±7.96）分、（42.58±8.63）分］均低于对照组［（48.13±9.75）分、（49.62±9.96）分］（均P<0.05）。观察组住院时间［（9.13±1.95）d］短于对照组［（11.26±2.32）d］（P<0.05），两组格拉斯哥预后量表（GOS）评分［（4.36±0.86）分比（4.62±0.92）分］和并发症发生率［9.62%（5/52）比22.64%（12/53）］比较差异均无统计学意义（均P>0.05）。出院前，两组遵医服药［（92.23±20.50）分、（83.46±18.55）分］、日常锻炼［（89.58±19.91）分、（80.62±17.92）分］、饮食管理［（90.69±14.14）分、（81.45±18.10）分］、不良管理评分［（87.69±19.49）分、（78.45±17.43）分］均较护理前升高［（58.32±12.96）分、（56.16±12.48）分，（62.78±13.95）分、（61.82±13.74）分，（60.68±13.48）分、（59.21±13.16）分，（49.68±11.04）分、（50.21±11.16）分］（均P<0.05），且观察组［（92.23±20.50）分、（89.58±19.91）分、（90.69±14.14）分、（87.69±19.49）分］均高于对照组［（83.46±18.55）分、（80.62±17.92）分、（81.45±18.10）分、（78.45±17.43）分］（均P<0.05）。观察组患者及家属满意度评分［（96.25±19.25）分、（95.26±19.05）分］均高于对照组［（88.05±17.61）分、（87.45±17.49）分］（均P<0.05）。结论　基于生物-心理-社会系统的共情技术能够有效提高颅内动脉瘤患者围手术期的临床疗效，改善患者焦虑抑郁不良情绪，提高治疗依从性和患者及家属满意度，降低术后并发症的发生率。

关键词:

颅内动脉瘤, 介入栓塞术, 围手术期, 生物-心理-社会系统, 共情技术