风险防范护理干预对颅内动脉瘤介入术后患者血管并发症的效果观察

来源期刊：广州医药 | 1363-1368 发布时间：2024-12-02 收稿时间：2025/11/13 18:43:45 阅读量：42

作者：: 郝婷婷,

张强,

杨婷,

曹仟仟,

孙菁娜,

关键词：: 风险防范颅内动脉瘤血管内介入栓塞术并发症生活质量满意度; risk prevention intracranial aneurysm intravascular interventional embolization complications quality of life satisfaction

DOI：: 10.20223/j.cnki.1000-8535.2024.11.020

收稿时间：: 2024-03-12
修订日期：
接收日期：
引用总数：: 1

目的探讨风险防范护理干预对颅内动脉瘤介入术后患者血管并发症的应用。方法选取天津市人民医院2020年6月—2023年10月收治的80例颅内动脉瘤患者,应用随机数字表法将其分为观察组与对照组,各40例。所有患者均采取血管内介入栓塞术治疗,对照组患者实施常规护理,观察组患者在对照组基础上增加风险防范护理干预。对比两组患者干预前后负面情绪变化、术后并发症发生率、干预前后生活质量变化以及护理满意度。结果干预后,两组焦虑、抑郁评分降低,观察组分别为（39.78±1.80）（44.73±3.78）分,低于对照组的（54.63±3.91）（49.23±4.14）分,对比差异有统计学意义（t=21.823、5.078,P<0.05）;观察组术后并发症发生率低于对照组（7.50% vs 27.50%,χ²=5.541,P=0.019）;干预后两组中文版明尼苏达心功能不全生命质量（MLHFQ）相关维度评分均升高,且观察组分别为（30.73±3.82]（21.13±2.70）（27.08±4.28）分,高于对照组的（26.20±3.50）（17.20±2.79）（23.20±2.35）分,对比差异有统计学意义（t=5.530、6.389、5.021,P<0.05）;观察组护理满意度高于对照组（92.50% vs 72.50%,χ²=5.541,P=0.019）。结论颅内动脉瘤介入术后采取风险防范护理干预可改善患者焦虑、抑郁情绪,降低术后并发症,改善患者术后生活质量,患者护理满意度较高。

Objective To investigate the application effect of risk prevention nursing intervention on vascular complications in patients with intracranial aneurysms after interventional surgery．Methods Eighty patients with intracranial aneurysm admitted in Tianjin People’s Hospital from June 2020 to October 2023 were selected and divided into observation group and control group with 40 cases each．All the patients were treated with endovascular interventional embolization,the control group patients underwent routine care,and the observation group patients added risk prevention nursing intervention on the basis of the control group．The negative mood changes before and after the intervention,the incidence of postoperative complications,the quality of life before and after the intervention,and nursing satisfaction were compared between the two groups．Results After the intervention,the anxiety and depression scores in both groups decreased,and the observation group[（39.78±1.80）and （44.73±3.78）] scores were lower than the control group[（54.63±3.91）and（49.23±4.14）] scores,significantly（t=21.823,5.078,P<0.05）．The postoperative complication rate was significantly lower than the control group（7.50% vs 27.50%,χ²=5.541,P=0.019）．After the intervention,MLHFQ related dimension scores were increased in both groups,and the observation group（30.73±3.82,21.13±2.70 and 27.08±4.28）scores were higher than the control group（26.20±2.50,17.20±2.79 and 23.20±2.35）scores,statistically significant（t=5.530,6.389,5.021,P<0.05）．The nursing satisfaction was higher than the control group（92.50% vs 72.50%,χ²=5.541,P=0.019）．Conclusion sRisk prevention nursing intervention after intracranial aneurysm intervention can improve patient anxiety and depression,assist in reducing the incidence of postoperative complications,improve patient quality of life,and increase patient satisfaction with nursing．

1、金慧莉. 预见性护理在颅内动脉瘤术后脑血管痉挛防治中的应用[J].国际检验医学杂志,2020,41(S02):18-20.

2、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.

3、蒋莲花. 老年颅内动脉瘤破裂患者开颅夹闭术的围术期护理[J].实用临床医药杂志,2020,24(23):62-64.

4、张丽华,田丹英,欧阳燕,等.颅内动脉瘤破裂出血患者血压管理策略的证据总结[J].中国实用护理杂志,2022,38(16):1255-1261.

5、马春红,张玲霞.多学科协作模式护理对颅内动脉瘤弹簧圈栓塞手术患者生活质量及精神状态的影响[J].中国医药导报,2022,19(4):186-189.

6、孙方贞,梁婧婧,申云飞,等.复杂颅内动脉瘤患者围手术期出血并发症的预防性护理干预研究[J].介入放射学杂志,2022,31(1):91-94.

7、蒋友田,王云龙,袁文浩,等.颅内动脉瘤栓塞术后再出血原因分析[J].立体定向和功能性神经外科杂志,2023,36(3):178-181.

8、杨媛,周佳,华莎.颅内动脉瘤栓塞术中破裂的护理[J].中国临床神经外科杂志,2022,27(10):863-865.

9、关欣,赵媛媛,高雅,等.基于正念减压的情绪管理策略对颅内动脉瘤患者负性情绪及生活质量的影响[J].中国实用神经疾病杂志,2023,26(1):98-103.

10、阮婷婷,贾云玲,路梦文.流程优化护理联合前瞻性护理在颅内动脉瘤介入栓塞术后患者中的应用[J].保健医学研究与实践,2023,20(1):100-104.

11、熊朝鹏,胡火军,汪雷.颅内未破裂动脉瘤支架辅助栓塞术后继发非动脉瘤性颅内出血的临床特征[J].中国临床神经外科杂志,2023,28(2):96-98,101.

12、 CELIKOGLU E,EKSI MS,BASTACI F,et al.Risk factors for Ⅱntracranial aneurysm rupture:A clinical case series and systematic review of the literature[J].Turk Neurosurg,2024,34(4):624-639.

13、 KLEPINOWSKI T,SKONIECZNA-?YDECKA K,PALA B,et al.Gut microbiome in intracranial aneurysm growth,subarachnoid hemorrhage,and cerebral vasospasm:A systematic review with a narrative synthesis[J].Front Neurosci,2023(17):1247151.

14、 ITANI M,SHIMIZU K,TANI S,et al.True superficial temporal artery aneurysm:A case after extracranial-intracranial bypass surgery and a systematic review[J].Surg Neurol Int,2022,13:573.

15、 KANCHEVA A K,VELTHUIS B K,RUIGROK Y M.Imaging markers of intracranial aneurysm development:A systematic review[J].J Neuroradiol,2022,49(2):219-224.

16、 NAFEES AHMED S,PRAKASAM P.A systematic review on intracranial aneurysm and hemorrhage detection using machine learning and deep learning techniques[J].Prog Biophys Mol Biol,2023,183:1-16.

17、张前,范爱莉.藏文版明尼苏达心力衰竭生活质量问卷(MLHFQ)在心力衰竭患者的应用[J].基础医学与临床,2019,39(11):1612-1617.

18、陶明,高静芳.修订焦虑自评量表(SAS-CR)的信度及效度[J].中国神经精神疾病杂志,1994,20(5):301-303.

19、姜睿璇,张娟,边立衡.2013年欧洲卒中组织关于颅内动脉瘤及蛛网膜下腔出血的管理指南(第二部分)[J].中国卒中杂志,2014,9(7):605-612.

20、程俊,毛华.护理风险管理联合口腔干预对老年高血压脑出血患者术后呼吸机相关性肺炎的预防效果[J].川北医学院学报,2023,38(9):1286-1289.

21、李姗姗,于奕,张凤,等.颅内动脉瘤破裂患者护理质量敏感指标体系的构建[J].中华现代护理杂志,2023,29(16):2186-2191.

22、羊海琴,周小南,刘娟,等.神经内镜辅助下颅内动脉瘤夹闭术的护理配合[J].海军医学杂志,2023,44(1):94-96.

23、 PONTES F G B,DA SILVA E M,BAPTISTA-SILVA J C,et al.Treatments for unruptured intracranial aneurysms[J].Cochrane Database Syst Rev,2021,5(5):CD013312.

24、 MOLENBERG R,AALBERS M W,APPELMAN A P A,et al.Intracranial aneurysm wall enhancement as an indicator of instability:A systematic review and meta-analysis[J].Eur J Neurol,2021,28(11):3837-3848.

25、 STRANGE F,GRUTER BE,FANDINO J,et al.Preclinical intracranial aneurysm models:A systematic review[J].Brain Sci,2020,10(3):134.

1、黄雅静,曾丽如.综合护理干预在颅内动脉瘤栓塞术患者中的效果[J].中国城乡企业卫生,2025,40(10):124-126.DOI:10.16286/j.1003-5052.2025.10.042.