摘要
目的基于症状管理策略构建颅内动脉狭窄围术期护理路径,评估其对认知功能的干预价值。方法选取2022年11月至2024年3月在天津市环湖医院接受支架植入术的91例颅内动脉狭窄患者进行研究,依据随机数字表法将他们分为观察组(46例,接受症状管理策略下围术期护理)和对照组(45例,接受围术期常规护理)。两组患者干预时间均为3个月。观察并比较两组患者干预前后心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、日常生活能力[日常生活能力量表(ADL)]、认知功能[蒙特利尔认知评估量表(MoCA)]及不良反应发生率。结果干预后,两组患者HAMA评分、HAMD评分低于干预前,观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组患者ADL评分、MoCA评分高于干预前,观察组高于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率低于对照组(2.17%vs.17.78%),差异有统计学意义(P<0.05)。结论实施基于症状管理策略的围术期护理路径能显著提升颅内动脉狭窄患者支架植入术后的心理健康、认知功能、日常生活能力和安全性。
Objective To construct a perioperative nursing pathway for intracranial arterial stenosis based on symptom management strategy and evaluate its intervention value on cognitive function.Methods A total of 91 patients with intracranial artery stenosis who underwent stent implantation from November 2022 to March 2024 were selected for the study.According to the random number table method,they were divided into the observation group(46 cases,receiving perioperative nursing under symptom management strategy)and the control group(45 cases,receiving perioperative routine nursing).The intervention of the two groups lasted 3 months.The psychological status[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],daily living ability[Activity of Daily Living Scale(ADL)],cognitive function[Montreal Cognitive Assessment Scale(MoCA)]and the incidence of adverse reactions were observed and compared between the two groups before and after the intervention.Results After the intervention,the HAMA scores and HAMD scores of the two groups were lower than those before the intervention,scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);after the intervention,the ADL scores and MoCA scores of the two groups were higher than those before the intervention,the observation group demonstrated higher scores than the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(2.17%vs.17.78%),and the difference was statistically significant(P<0.05).Conclusion The implementation of perioperative nursing pathway based on symptom management strategy can significantly improve the psychological status,cognitive function,daily living ability and safety of patients with intracranial artery stenosis after stent implantation.
作者
杨春苗
YANG Chunmiao(Ward 5,Department of Neurosurgery,Tianjin Huanhu Hospital,Tianjin 300222,China)
出处
《生物医学工程学进展》
2025年第6期920-926,共7页
Progress in Biomedical Engineering
关键词
症状管理策略
围术期护理
颅内动脉狭窄
心理状态
Symptom Management Strategy
Perioperative Nursing
Intracranial Artery Stenosis
Psychological Status
