无缝护理模式在颈动脉狭窄支架植入术围手术期中的应用效果评价

Evaluation of the Effect of Seamless Nursing Model in Peri-Operative Period of Carotid Artery Stenosis Stent Implantation

摘要: 目的：探讨无缝护理模式在颈动脉狭窄支架植入术围手术期中的应用效果，总结护理经验。方法：将36例行颈动脉狭窄支架植入术的颈动脉狭窄患者随机分为观察组和对照组各18例，观察组采用无缝护理，对照组采用传统护理，采用独立样本t检验方法比较两组患者出院时对护理全程工作满意度得分、术后人均并发症发生次数等差别。结果：观察组患者对护理全程工作的满意度得分高于对照组(94.2 ± 10.61 vs 86.3 ± 11.27, t =2.165, P < 0.05)，术后人均并发症发生次数明显低于对照组(3.6 ± 1.42 vs 5.7 ± 1.51, t = 4.398, P < 0.05)。结论：通过无缝护理，使各个环节的护理工作完好对接，保证了患者围手术期的安全，显著提高颈动脉狭窄患者对护理全程工作的满意度；同时可增加患者对介入手术的配合，减少术后并发症发生，值得临床推广应用。

Abstract: Objective: To explore the effect of seamless nursing in the perioperative period of carotid artery stenosis stent implantation and summarize the nursing experience. Methods: Thirty-six patients with carotid artery stenosis undergoing stent implantation were randomly divided into observation group (n = 18) and control group (n = 18). Independent sample t-test was used to compare the scores of satisfaction with nursing care and the times of postoperative complications between the two groups at the time of discharge. Results: The satisfaction score of the patients in the observation group was higher than that in the control group (94.2 ± 10.61 vs 86.3 ± 11.27, t = 2.165, P < 0.05). The frequency of postoperative complications was significantly lower than that of the control group (3.6 ± 1.42 vs 5.7 ± 1.51, t = 4.398, P < 0.05). Conclusion: The seamless nursing can ensure the safety of patients in perioperative period and improve the satisfaction of patients with carotid artery stenosis in the whole nursing process. At the same time, it can increase the cooperation of interventional operation and reduce the postoperative complications, which is worthy of clinical popularization and application.