摘要
目的 探讨前瞻性精准护理策略对主动脉夹层动脉瘤手术患者的血压、疼痛及长期预后的影响。方法 选取2023年5月-2024年5月在我院收治的主动脉夹层动脉瘤手术患者90例,随机分为对照组(45例)和观察组(45例)。对照组采用常规基础护理,观察组实施前瞻性精准护理策略。对比两组患者护理后的血压水平、疼痛数字评估法、护理质量评分。结果 护理后,观察组血压指标及疼痛评分均显著低于对照组,(P<0.05)。且观察组患者护理质量评分优于对照组患者,(P<0.05)。结论 前瞻性精准护理策略可有效改善主动脉夹层动脉瘤手术患者的血压控制效果,减轻疼痛程度,提升护理质量与满意度,降低术后并发症发生率,改善长期预后,值得临床推广应用。
关键词: 前瞻性精准护理策略;主动脉夹层动脉瘤手术患者;血压;疼痛;长期预后
Abstract
Objective To explore the impact of prospective precise nursing strategies on blood pressure, pain and long-term prognosis of patients undergoing aortic dissection aneurysm surgery. Methods A total of 90 patients who underwent aortic dissection aneurysm surgery in our hospital from May 2023 to May 2024 were selected and randomly divided into a control group (45 cases) and an observation group (45 cases). The control group received conventional basic nursing, while the observation group implemented a prospective and precise nursing strategy. The blood pressure levels, pain numerical assessment methods and nursing quality scores of the two groups of patients after nursing were compared. Results After the nursing care, the blood pressure index and pain score of the observation group were significantly lower than those of the control group (P<0.05). Moreover, the nursing quality score of the patients in the observation group was better than that of the patients in the control group (P < 0.05). Conclusion The prospective precise nursing strategy can effectively improve the blood pressure control effect of patients undergoing aortic dissection aneurysm surgery, reduce the degree of pain, enhance the quality and satisfaction of nursing, lower the incidence of postoperative complications, and improve the long-term prognosis. It is worthy of clinical promotion and application.
Key words: Forward-looking, precise nursing strategy; Patients undergoing aortic dissection aneurysm surgery; Blood pressure; Pain; Long-term prognosis
参考文献 References
[1] 张晓雅,孙明飞,田苗苗.前瞻性精准护理策略对主动脉夹层动脉瘤手术患者的血压,疼痛及长期预后的影响[J].成都医学院学报,2025,20(01):110-113.
[2] 唐盈芳,莫曙华,路华.精准护理对主动脉夹层动脉瘤患者围术期血压变化及手术相关并发症发生率的影响[J].中文科技期刊数据库(引文版)医药卫生,2022,19(05):47-52.
[3] 张晓萍,何彩虹,吴玉丽.基于临床护理路径的精准护理对主动脉夹层动脉瘤患者术后血压控制及并发症发生率的影响[J].中外医疗,2023,42(19):141-144.
[4] 刘娟,钱蓉,罗歆池,等.多层裸支架技术治疗主动脉夹层动脉瘤患者的术中配合及干预研究[J].中国循证心血管医学杂志,2025,17(01):99-103.
[5] 刘盼盼.心理护理与精准护理干预对主动脉夹层动脉瘤患者围手术期的影响[J].中国冶金工业医学杂志,2023, 40(05):537-538.
[6] 赖杏,黄宝玉,林叶.路径导向性护理结合精准干预在B型主动脉夹层动脉瘤围术期中的应用效果分析[J].循证护理,2022,8(18):2551-2554.
[7] 李娟,徐世国.基于风险管理模式的精准护理在DebakeyⅠ型主动脉夹层患者术后急性呼吸系统疾病中的应用效果[J].首都食品与医药,2023,30(16):91-94.
[8] 李莉,罗红侠.心理护理干预联合健康宣教对主动脉夹层动脉瘤患者不良情绪和治疗依从性的影响[J].2020,(10).