Application of evidence-based nursing model in perioperative comfort management of patients undergoingtotal cerebral angiography
循证护理模式在全脑血管造影术患者围手术期舒适管理中的应用

摘要

目的 分析循证护理模式在全脑血管造影术（DSA）患者围手术期舒适管理中的应用效果。方法 择选我院2020年10月-2021年12月期间临床全脑血管造影术治疗病患共计70名，以“随机编号法”原则平均分组，每组35名，观察围手术期护理介入效果差异。35名对象开展基本护理模式纳入常规组，35名对象开展循证护理模式纳入实验组。比较两组术后不良反应发生率、护理服务评分、护理前后舒适度评分、不良情绪评分。结果 护理前，两组对比舒适度评分无差异性，P＞0.05。护理后，相较常规组，实验组后不良反应发生率、不良情绪评分更低，P＜0.05。相较常规组，实验组护理服务评分、护理前后舒适度评分更高，P＜0.05。结论 于病患全脑血管造影围术期间应用循证护理模式，可达成舒适管理保证患者生活质量，建议普及应用。

Abstract

Objective to analyze the effect of evidence-based nursing in patients undergoing DSA.
Methods a total of 70 patients treated by clinical whole brain angiography in our hospital from October 2020 to December 2021 were selected. They were divided into 35 patients in each group according to the principle of "random numbering method". The differences of perioperative nursing intervention effects were observed. 35 subjects who carried out basic nursing mode were included in the routine group, and 35 subjects who carried out evidence-based nursing mode were included in the experimental group. The incidence of postoperative adverse reactions, nursing service score, comfort score before and after nursing and adverse emotion score were compared between the two groups.
Results before nursing, there was no difference in the score of comparative comfort between the two groups (P > 0.05). After nursing, the incidence of adverse reactions and the score of adverse emotions in the experimental group were lower than those in the conventional group (P < 0.05). Compared with the routine group, the scores of nursing service and comfort before and after nursing in the experimental group were higher (P < 0.05).
Conclusion   the application of evidence-based nursing model during the perioperative period of patients' whole cerebral angiography can achieve comfortable management and ensure the quality of life of patients. It is recommended to popularize it.