|
|
|
| Effect of multidisciplinary collaborative nursing care on the quality of life and mental state of patients undergoing intracranial aneurysm#br# |
| MA Chunhong ZHANG Lingxia |
| Department of Neurosurgery, Nanjing First Hospital, Nanjing Medical University Nanjing First Hospital, Jiangsu Province, Nanjing 210006, China |
|
|
|
Abstract Objective To explore and analyze the impact of multidisciplinary collaborative nursing care on the quality of life and mental state of patients undergoing coiled intracranial aneurysm (CIA) surgery. Methods A total of 100 patients with intracranial aneurysm who received CIA treatment in Nanjing Hospital of Nanjing Medical University from May 2019 to May 2021 were randomly divided into control group and observation group, with 50 cases in each group. The control group received routine nursing care during the perioperative period, while the observation group used multi disciplinary collaborative nursing care, both of which were continuously nursing for a week. The wound healing time, hospitalization time, and other indicators of the two groups were recorded; before nursing and a week after nursing, the generic quality of life inventory-74 (GQOLI-74) was used to assess the quality of life of the two groups; the self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to assess the mental state of patients; the complications of the two groups were recorded. Results The wound healing time and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P ＜ 0.05). At a week of nursing, the GQOLI-74 scores and total scores of the two groups were higher than those before nursing, while the observation group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). At a week of nursing, the scores of SAS and SDS in the two groups were lower than those before nursing, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of complications such as local hematoma at the puncture point in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Multidisciplinary collaborative care is more conducive to improving the quality of life and mental state of patients with intracranial aneurysm CIA, and is conducive to reducing the incidence of complications.
|
|
|
|
|
|
[1] Twitchell S，Wilde HW，Taussky P，et al. Initial Treatment for Unruptured Intracranial Aneurysm and Its Follow-up：A Cost Analysis of Pipeline Flow Diverters versus Coiling [J]. Cureus，2019，11（9）：e5692.
[2] 高雅，刘海峰，冯雯，等.MRA诊断颅内动脉瘤弹簧圈栓塞术后复发的meta分析[J].介入放射学杂志，2020，29（1）：15-20.
[3] 边雪梅，李艳.精细护理模式对颅内动脉瘤患者术后康复进度及并发症的影响[J].中国肿瘤临床与康复，2020， 27（4）：123-126.
[4] 陆立芳.心理干预联合常规护理对创伤骨科患者功能锻炼依从性及疼痛的影响[J].西部中医药，2018，31（4）：120-122.
[5] Palethorpe M，Latcham N，Selvaraj S，et al. Comment on：Should Rheumatology be a core discipline of a chronic pain multi-disciplinary team?：reply [J]. Rheumatology （Oxford），2019，58（1）：185-186.
[6] 刘宇，高倩，高宁，等.脑梗死并发心理障碍患者采用多学科协作护理新模式效果观察[J].河北医药，2018，40（2）：143-146.
[7] 中华医学会神经外科学分会神经介入学组.颅内动脉瘤血管内介入治疗中国专家共识（2013）[J].中国脑血管病杂志，2013，10（11）：606-616.
[8] 李乐之，路潜.外科护理学[M].6版.北京：人民卫生出版社，2017：255-258.
[9] 张作记.生活质量评定量表选介[J].中华行为医学与脑科学杂志，2001，10（5）：455.
[10] Samakouri M，Bouhos G，Kadoglou M，et al. Standardization of the Greek version of Zung’s Self-rating Anxiety Scale （SAS） [J]. Psychiatriki，2012，23（3）：212-220.
[11] 段泉泉，胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志，2012，26（9）：676-679.
[12] 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.
[13] 樊海燕，韩桃丽，赵小军.全面护理干预在颅内动脉瘤患者三维数字减影血管造影引导下介入手术围手术期中的应用[J].中国药物与临床，2019，19（18）：3255-3257.
[14] 周甜甜，马海萍，张超，等.快速康复外科在颅内动脉瘤经弹簧圈栓塞术围术期的应用[J].重庆医学，2019，48（10）：1770-1773.
[15] 王莉，龚丽，兰莉萍，等.低分级颅内动脉瘤早期显微手术的围手术期护理[J].贵州医药，2018，42（5）：639-640.
[16] Caldwell KE，Lulla A，Murray CT，et al. Multi-Disciplinary Trauma Evaluation and Management Simulation （MD-TEAMS） training for emergency medicine and general surgery residents [J]. Am J Surg，2021，221（2）：285-290.
[17] Bhatt H，Cole SP. Perioperative Echocardiography in a Multi-Disciplinary Care Team [J]. J Am Soc Echocardiogr，2019，32（2）：A23-A24.
[18] Tagliaferri L，Garganese G，D’Aviero A，et al. Multidisciplinary personalized approach in the management of vulvar cancer - the Vul.Can Team experience [J]. Int J Gynecol Cancer，2020，30（7）：932-938.
[19] 王红丽，徐春艳，张翠萍.多学科协作模式延续护理在肝癌术后病人中的应用效果[J].护理研究，2019，33（7）：114-118.
[20] 何丹萍，王秀珍.多学科团队协作护理模式在食管癌手术患者中的应用效果[J].中国医药导报，2016，13（4）：175-177.
[21] 李雪，胡钦蓉.多学科协作模式对颅内动脉瘤弹簧圈栓塞手术患者生活质量的影响[J].中国肿瘤临床与康复，2018，25（1）：110-113.
[22] 应朝晖，胡泽盈.多学科团队协作护理模式在脑转移瘤手术患者中的应用效果研究[J].护士进修杂志，2018， 33（14）：1257-1260.
[23] 李丽，刘丽，陈西兰，等.多学科协作护理模式对高龄胆总管切开手术病人胃肠功能恢复和满意度的影响[J].蚌埠医学院学报，2019，44（9）：1286-1288.
[24] 张新媚，朱慧芬，陆炜，等.多学科团队协作护理模式在肺动脉栓塞患者中的应用[J].解放军护理杂志，2018， 35（8）：45-49.
[25] 张晓莹，张翠英，王元玲.多学科协作护理模式在伴有基础疾病的老年胸腰椎骨折围术期中的应用[J].海南医学，2019，30（7）：139-142. |
|
|
|
