摘要
目的 分析对颅内动脉瘤破裂出血患者介入栓塞术治疗期间开展围术期整体护理的应用效果。方法随机抽取在我院接受介入栓塞术治疗的颅内动脉瘤破裂出血患者100例，分组方式为随机数字表法，组别为观察组与对照组，每组50例。手术期间对照组接受常规护理，观察组开展围术期整体护理。将两组护理效果进行详细对比分析。结果 护理后，观察组患者的护理治疗依从性与对照组相比明显提高，焦虑情绪和术后疼痛程度均轻于对照组，睡眠质量和生活质量改善效果优于对照组，术后并发症及住院所用时间均少于对照组，（P<0.05）。结论 开展围术期整体护理，可有效提升颅内动脉瘤破裂出血介入栓塞术的临床护理质量，增进患者配合与舒适度，减轻病痛折磨，提高睡眠及生活质量，降低并发症，助力患者康复。
关键词： 围术期整体护理；颅内动脉瘤破裂出血；介入栓塞术；效果分析
Abstract
Objective To analyze the application effect of perioperative holistic nursing during interventional embolization for patients with ruptured intracranial aneurysms and hemorrhage. Methods A total of 100 patients with ruptured intracranial aneurysms and hemorrhage who received interventional embolization treatment in our hospital were randomly selected. The grouping method was the random number table method, and the groups were the observation group and the control group, with 50 cases in each group. During the operation, the control group received routine care, while the observation group carried out perioperative holistic care. A detailed comparative analysis was conducted on the nursing effects of the two groups. Results After the nursing care, the compliance of patients in the observation group with nursing treatment was significantly improved compared with that in the control group. Their anxiety and postoperative pain were both less severe than those in the control group. The improvement effects of sleep quality and quality of life were better than those in the control group. The postoperative complications and the length of hospital stay in the observation group were both less than those in the control group (P<0.05). Conclusion The implementation of perioperative holistic nursing can effectively enhance the clinical nursing quality of interventional embolization for ruptured intracranial aneurysms, increase patient cooperation and comfort, alleviate pain and suffering, improve sleep and quality of life, reduce complications, and facilitate patient recovery.
Key words： Perioperative holistic nursing; Rupture and hemorrhage of intracranial aneurysm; Interventional embolization; Effect analysis
参考文献 References
[1] 张群,张琳,底瑞青.颅内动脉瘤破裂出血介入栓塞术围术期整体护理效果分析[J].河南外科学杂志,2024,30(3): 175-178.
[2] 陈斐,李翔.重症颅内动脉瘤破裂出血患者血管内介入栓塞术后并发慢性脑积水的危险因素分析[J].中国实用医刊,2024,51(9):25-28.
[3] 周雨.颅内动脉瘤破裂出血介入栓塞治疗患者行围手术期压疮针对性护理的效果[J].医学美学美容,2023,32(1): 128-131.
[4] 岳建华,李春霞.血管内介入治疗颅内动脉瘤破裂出血的围术期护理[J].全科护理,2023,21(21):2977-2979.
[5] 于莉娜,霍颖,丁丽娜,等.颅内动脉瘤介入栓塞术后并发症的危险因素及护理策略[J].国际护理学杂志,2024, 43(15): 2763-2767.
[6] 龚奇.循证护理在颅内动脉瘤血管介入栓塞术围术期中的应用效果[J].基层医学论坛,2024,28(11):38-40.
[7] 潘文龙,赵浩,周染云,等.颅内动脉瘤血管内栓塞治疗的围术期护理[J].护士进修杂志,2020,35(10):942-944.
[8] 刘湘萍.颅内动脉瘤介入栓塞术中血压的精准监测与管理[J].中国保健营养,2020,30(9):3-4.