|
|
|
| Impact of personalized psychological care on disease uncertainty and prognosis in patients with nutcracker syndrome treated with 3D printed extravascular stent implantation |
| WAN Xiaoqiong ZHANG Bo LI Sha CUI Dong YAN Fengqi LAN Hua CHEN Qian▲#br# |
| Department of Urology, the Second Affiliated Hospital of the Chinese People’s Liberation Army Air Force Military Medical University, Shaanxi Province, Xi’an 710038, China |
|
|
|
Abstract Objective To investigate the impact of personalized psychological care on disease uncertainty and prognosis in patients with 3D printed extravascular stent implantation for nutcracker syndrome. Methods Seventy-two patients with nutcracker syndrome who underwent 3D printed extravascular stent implantation at the Second Affiliated Hospital of the Chinese People’s Liberation Army Air Force Military Medical University from December 2019 to September 2021 were selected for the study, and the patients were divided into control group and observation group of 36 cases each according to the random number table method. The control group implemented conventional care, while the observation group implemented personalized psychological care. Comparison of disease uncertainty, psychological status, pain, comfort, and sleep quality scores between the two groups was carried out before and after care. Results After care, the disease uncertainty, anxiety, and depression scores of both groups were lower than before care, while those of the observation group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). After care, the pain scores and sleep quality scores of both groups were lower than before care, while those of the observation group were lower than those of the control group; the comfort scores of both groups were higher than before care, and while those of the observation group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Personalized psychological care can effectively improve the psychological status of patients with nutcracker syndrome during the perioperative period of 3D printed extravascular stent implantation, reduce their disease uncertainty, and alleviate pain, enhance somatic comfort and improve sleep quality.
|
|
|
|
|
|
[1] 张晓东，林锦蓉，张佐炳，等.影像学诊断胡桃夹综合征进展[J].中国医学影像技术，2019，35（6）：942-945.
[2] de Macedo GL，Dos Santos MA，Sarris AB，et al. Diagnosis and treatment of the Nutcracker syndrome：a review of the last 10 years[J]. J Vascular Brasileiro，2018，17（3）：220- 228.
[3] 梁镇锋，邓志权，黄荏钊，等.左精索静脉曲张合并肾静脉性胡桃夹综合征行精索内静脉近心端-腹壁下静脉转流术治疗的临床观察[J].中国医药科学，2021，11（20）：201-204.
[4] Rodríguez-Morata A，Robles-Martín ML，Reyes-Ortega JP. Endovascular treatment of posterior nutcracker syndrome with a new autoexpandable stent [J]. J Vasc Surg Venous Lymphat Disord，2019，7（1）：118-121.
[5] Yu S，Hu H，Ding G. Robot-Assisted Laparoscopic Left Renal Vein Transposition for the Treatment of Nutcracker Syndrome：A Preliminary Experience [J]. Ann Vasc Surg，2019， 57：69-74.
[6] Chen FM，Chen XL，Jiang XN，et al. A New Technique：Laparoscopic Resection of Fibrous Ring and Placing Extravascular Stent in Patients With Nutcracker Syndrome：A Report of 5 Cases [J]. Urology，2019，126：110-115.
[7] 王江宜，王忠，李文智.胡桃夹综合征的研究进展[J].现代泌尿外科杂志，2021，26（12）：1076-1081.
[8] He D，Liang J，Wang H，et al. 3D-Printed PEEK Extravascular Stent in the Treatment of Nutcracker Syndrome：Imaging Evaluation and Short-Term Clinical Outcome [J]. Front Bioeng Biotechnol，2020，8：732.
[9] 陈育，张波，王磊，等.机器人辅助腹腔镜3D打印PEEK血管外支架植入术治疗胡桃夹综合征的护理配合[J].机器人外科学杂志（中英文），2021，2（3）：193-199.
[10] 王娟英，李静，张波，等.快速康复外科护理在胡桃夹综合征患者围术期中的应用效果[J].临床医学研究与实践，2021，6（4）：153-155.
[11] 蔡月明，张波，万晓琼，等.静默疗法应用于胡桃夹综合征患者的术前效果评价[J].当代护士中旬刊，2021，28（32）：95-97.
[12] 叶增杰，佘颖，梁木子，等.中文版Mishel疾病不确定感量表的重新修订及其在中国恶性肿瘤患者中的信效度检验[J].中国全科医学，2018，21（9）：1091-1097.
[13] 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.
[14] 朱丽霞，高凤莉，罗虹辉，等.舒适状况量表的信效度测试研究[J].中国实用护理杂志，2006，22（13）：57-59.
[15] 路桃影，李艳，夏萍，等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学，2014，43（3）：260-263.
[16] Hao J，Shi H，Xu H，et al. Ultrasound-assisted microsurgical left spermatic-inferior epigastric vein anastomosis for treating nutcracker syndrome-associated varicocele [J]. Int Urol Nephrol，2019，51（11）：1925-1932.
[17] Sorokin I，Nelson J，Rectenwald JE，et al. Robot-assisted laparoscopic extravascular stent for nutcracker syndrome [J]. J Robot Surg，2018，12（3）：561-565.
[18] Steinberg RL，Johnson BA，Garbens A，et al. Robotic assisted extravascular stent placement for nutcracker phenomenon of the left renal vein：a case series [J]. J Robot Surg，2020，14（5）：781-788.
[19] Amaral J，Honjo O，Hannick JH，et al. In Situ Gonadal Vein Valvulotomy and Side-to-side Gonado-iliac Bypass for the Management of Nutcracker Syndrome in an Adolescent with a Solitary Kidney and Absence of Pelvic Congestion [J]. Urology，2019，126：200-203.
[20] 王娟英，张波，王江平，等.腹腔镜3D打印血管外支架置入术治疗胡桃夹综合征患者的护理方法研究[J].检验医学与临床，2019，16（23）：3500-3503.
[21] Lin JC，Ranasinghe B，Patel A，et al. Robot-assisted laparoscopic placement of extravascular stent for nutcracker syndrome [J]. J Vasc Surg Cases Innov Tech，2020，6（3）：346-347.
[22] 王江平，焦勇，许志斌，等.腹腔镜3D打印血管外支架植入术治疗胡桃夹综合征的安全性和有效性[J].中华泌尿外科杂志，2018，39（3）：200-204.
[23] 武斌，张波，焦勇，等.机器人辅助腹腔镜3D打印PEEK血管外支架植入术治疗飞行员胡桃夹综合征[J].心脏杂志，2019，31（2）：199-201.
[24] 郭宁娟，高小平，代艳，等.胡桃夹综合征患者行腹腔镜下3D技术打印的血管外支架植入术的护理[J].当代护士（下旬刊），2017，24（8）：58-60.
[25] 张丽娟，王娟英，张明艳，等.腹腔镜下3D打印血管外支架置入术治疗胡桃夹综合征患者的围术期护理[J].齐鲁护理杂志，2021，27（4）：123-125. |
|
|
|
