Abstract:

Objective　To observe the effect of evidence-based predictive nursing intervention on patients with intracranial aneurysms after interventional therapy. Methods　It was a randomized controlled trial. A total of 100 patients with intracranial aneurysms after interventional therapy in The First Affiliated Hospital of Henan University of Science and Technology from April 2020 to May 2022 were selected for the research. The patients were numbered and grouped in the order of admission, with 50 cases in each group. In the control group, there were 24 males and 26 females, aged (51.36±11.24) years; in the observation group, there were 25 males and 25 females, aged (52.30±11.46) years. The control group received routine nursing, while the observation group received evidence-based predictive nursing. The mood states before and after intervention, the risk of postoperative complications, the recovery effect, and the nursing job satisfaction were compared between the two groups. Independent sample t test, paired t test, and χ² test were used for statistical ananlysis. Results　The total incidence of postoperative complications in the observation group was lower than that in the control group [6.0% (3/50) vs. 22.0% (11/50)] (χ²=5.316, P=0.021). The recovery rate of the observation group was higher than that of the control group [74.0% (37/50) vs. 54.0% (27/50)] (χ²=4.340, P=0.037). After intervention, the scores of nervousness, anger, fatigue, depression, and panic in the observation group were lower than those in the control group [(12.43±2.17) points vs. (14.27±2.61) points, (14.18±3.05) points vs. (17.28±3.50) points, (10.32±2.16) points vs. (12.73±2.76) points, (14.52±2.67) points vs. (16.43±3.27) points, (10.33±2.00) points vs. (12.74±2.81) points], and the scores of energy and self-esteem were higher than those in the control group [(19.55±3.85) points vs. (16.73±3.23) points, (16.19±3.35) points vs. (14.56±2.98) points], with statistically significant differences (all P<0.05). The nursing job satisfaction of the observation group was higher than that of the control group [88.0% (44/50) vs. 70.0% (35/50)] (χ²=4.883, P=0.027). Conclusion　The application of evidence-based predictive nursing in patients with intracranial aneurysms after interventional therapy can reduce the incidence of postoperative complications, improve their recovery effects, improve their mood states, and enhance their nursing satisfaction.

Key words:

Intracranial aneurysms, Interventional therapy, Predictive nursing, Evidence-based theory

摘要：

目的　观察基于循证理论的预见性护理干预对颅内动脉瘤介入治疗术后患者的影响。方法　本研究为随机对照试验。回顾性选取河南科技大学第一附属医院2020年4月至2022年5月100例颅内动脉瘤介入治疗术后患者进行研究，以患者入院顺序编号分组，每组50例。对照组男24例，女26例，年龄（51.36±11.24）岁；观察组男25例，女25例，年龄（52.30±11.46）岁。对照组实施常规护理，观察组实施基于循证理论的预见性护理。比较两组患者干预前后心境状态、术后并发症发生风险、恢复效果、护理工作满意度。统计学方法采用独立样本t检验、配对t检验、χ²检验。结果　观察组患者的术后并发症总发生率低于对照组［6.0%（3/50）比22.0%（11/50）］（χ²=5.316，P=0.021）；观察组恢复良好率高于对照组［74.0%（37/50）比54.0%（27/50）］（χ²=4.340，P=0.037）；干预后观察组患者的紧张、愤怒、疲劳、抑郁、慌乱评分均低于对照组［（12.43±2.17）分比（14.27±2.61）分、（14.18±3.05）分比（17.28±3.50）分、（10.32±2.16）分比（12.73±2.76）分、（14.52±2.67）分比（16.43±3.27）分、（10.33±2.00）分比（12.74±2.81）分］，精力、自尊感评分均高于对照组［（19.55±3.85）分比（16.73±3.23）分、（16.19±3.35）分比（14.56±2.98）分］，差异均有统计学意义（均P<0.05）；观察组护理工作满意度高于对照组［88.0%（44/50）比70.0%（35/50）］（χ²=4.883，P=0.027）。结论　颅内动脉瘤介入治疗术后患者应用基于循证理论的预见性护理，不仅能降低术后并发症发生率，提升患者恢复效果，且能改善患者心境状态，增强其护理满意度。

关键词:

颅内动脉瘤, 介入治疗, 预见性护理, 循证理论