医护一体化整体管理模式对开颅夹闭破裂动脉瘤患者围术期护理质量的影响(1)
【摘要】 目的：研究医护一体化整体管理模式对开颅夹闭破裂动脉瘤患者围术期护理质量的影响。方法：于2017年6月-2019年6月选取60例病历资料完整的开颅夹闭破裂动脉瘤患者，采取单双号方式将其分为两组，每组30例。常规组在围术期实施一般护理管理，研究组在围术期给予医护一体化整体管理，比较两组护理质量及并发症发生情况。结果：研究组护理质量评分均高于常规组，差异有统计学意义(P<0.05)。研究组并发症发生率为3.33%(1/30)，低于常规组的20.00%(6/30)，差异有统计学意义(P<0.05)。结论：在开颅夹闭破裂动脉瘤患者围术期实施医护一体化整体管理模式，能够提高护理质量，降低并发症发生率。
【关键词】 医护一体化 开颅夹闭破裂动脉瘤 围术期 护理质量
doi：10.14033/j.cnki.cfmr.2020.07.072 文献标识码 B 文章编号 1674-6805(2020)07-0-02
Effect of Integrated Management Mode of Medical Care on Perioperative Period Nursing Quality of Patients with Craniotomy Clipped Ruptured Aneurysm/WEN Jianping， DAI Hong， CHEN Haiying， YU Tongying， ZHENG Jingjing. //Chinese and Foreign Medical Research， 2020， 18(7)： -166
[Abstract] Objective： To study the effect of integrated management mode of medical care on perioperative period nursing quality of patients with craniotomy clipped ruptured aneurysm. Method： From June 2017 to June 2019， 60 patients with craniotomy clipped ruptured aneurysm with complete medical records were selected， and they were divided into two groups by single and double numbers， with 30 case in each group. The routine group implemented general nursing management during perioperative period， while the study group provided integrated management of medical care during perioperative period. The nursing quality and complications were compared between the two groups. Result： The nursing quality scores of the study group were higher than those of the routine group group， and the differences were statistically significant (P<0.05). The complication rate of the study group was 3.33% (3/30)， which was lower than 20.00% (6/30) of the routine group， the difference was statistically significant (P<0.05). Conclusion： In the perioperative period of patients with craniotomy clipped ruptured aneurysm， the integrated management mode of medical care can improve the nursing quality and reduce the incidence of complications.
[Key words] Integrated of medical care Craniotomy clipped ruptured aneurysm Perioperative period Nursing quality
First-author’s address： Huizhou Third People’s Hospital， Huizhou 516000， China
顱内动脉瘤是指颅内动脉壁瘤样异常突起，脑动脉管壁先天性缺陷、腔内压力增高等是引起本病的基础，也是导致发生蛛网膜下腔出血的第一位原因，在脑血管意外中，动脉瘤破裂出血居第三位，仅次于脑血栓、高血压脑出血[1]。脑内动脉瘤破裂临床表现与脑出血比较相似，会造成呕吐、昏迷、颅内压升高及瘫痪等症状，若治疗与护理不得当，具有较高的致残率和病死率[2]。本次研究选取60例开颅夹闭破裂动脉瘤患者，予以分组后分别在围术期实施一般护理管理和医护一体化整体管理，比较对护理质量的影响，现报道如下。
1 资料与方法
1.1 一般资料
于2017年6月-2019年6月选取60例病历资料完整的开颅夹闭破裂动脉瘤患者，纳入标准：均确诊为颅内动脉瘤破裂。排除标准：(1)不耐手术治疗患者;(2)合并听力、语言、智力等功能障碍患者;(3)患有其他严重器官组织疾病患者;(4)存在精神疾病患者。采取单双号方式将60例患者分为两组，常规组(n=30)：男女比例17∶13;年龄37～75岁，平均(58.3±6.9)岁;, 百拇医药(温建萍 代红 陈海英 余同英 郑静静)
【关键词】 医护一体化 开颅夹闭破裂动脉瘤 围术期 护理质量
doi：10.14033/j.cnki.cfmr.2020.07.072 文献标识码 B 文章编号 1674-6805(2020)07-0-02
Effect of Integrated Management Mode of Medical Care on Perioperative Period Nursing Quality of Patients with Craniotomy Clipped Ruptured Aneurysm/WEN Jianping， DAI Hong， CHEN Haiying， YU Tongying， ZHENG Jingjing. //Chinese and Foreign Medical Research， 2020， 18(7)： -166
[Abstract] Objective： To study the effect of integrated management mode of medical care on perioperative period nursing quality of patients with craniotomy clipped ruptured aneurysm. Method： From June 2017 to June 2019， 60 patients with craniotomy clipped ruptured aneurysm with complete medical records were selected， and they were divided into two groups by single and double numbers， with 30 case in each group. The routine group implemented general nursing management during perioperative period， while the study group provided integrated management of medical care during perioperative period. The nursing quality and complications were compared between the two groups. Result： The nursing quality scores of the study group were higher than those of the routine group group， and the differences were statistically significant (P<0.05). The complication rate of the study group was 3.33% (3/30)， which was lower than 20.00% (6/30) of the routine group， the difference was statistically significant (P<0.05). Conclusion： In the perioperative period of patients with craniotomy clipped ruptured aneurysm， the integrated management mode of medical care can improve the nursing quality and reduce the incidence of complications.
[Key words] Integrated of medical care Craniotomy clipped ruptured aneurysm Perioperative period Nursing quality
First-author’s address： Huizhou Third People’s Hospital， Huizhou 516000， China
顱内动脉瘤是指颅内动脉壁瘤样异常突起，脑动脉管壁先天性缺陷、腔内压力增高等是引起本病的基础，也是导致发生蛛网膜下腔出血的第一位原因，在脑血管意外中，动脉瘤破裂出血居第三位，仅次于脑血栓、高血压脑出血[1]。脑内动脉瘤破裂临床表现与脑出血比较相似，会造成呕吐、昏迷、颅内压升高及瘫痪等症状，若治疗与护理不得当，具有较高的致残率和病死率[2]。本次研究选取60例开颅夹闭破裂动脉瘤患者，予以分组后分别在围术期实施一般护理管理和医护一体化整体管理，比较对护理质量的影响，现报道如下。
1 资料与方法
1.1 一般资料
于2017年6月-2019年6月选取60例病历资料完整的开颅夹闭破裂动脉瘤患者，纳入标准：均确诊为颅内动脉瘤破裂。排除标准：(1)不耐手术治疗患者;(2)合并听力、语言、智力等功能障碍患者;(3)患有其他严重器官组织疾病患者;(4)存在精神疾病患者。采取单双号方式将60例患者分为两组，常规组(n=30)：男女比例17∶13;年龄37～75岁，平均(58.3±6.9)岁;, 百拇医药(温建萍 代红 陈海英 余同英 郑静静)