顱內動脈瘤介入栓塞治療患者的護理管理探討

安志巖

[摘要] 目的 探討顱內動脈瘤介入栓塞治療患者的護理管理方法。方法 2017年1月—2019年3月間選取92例顱內動脈瘤介入栓塞治療患者，采用紅藍雙色球法將其分為兩組，各46例，對照組采用常規護理管理，觀察組在此基礎上采用護理風險管理，比較兩組的并發癥發生情況、護患糾紛發生率、護理滿意率和護理質量。結果 觀察組并發癥發生率（10.87%）明顯低于對照組（30.43%）;觀察組護理滿意率（97.83%）明顯高于對照組（82.61%）（P<0.05）;兩組的護患糾紛率對比差異無統計學意義（P>0.05）;觀察組環境管理、用品準備、手術配合、風險防范評分高于對照組（P<0.05）。結論 在顱內動脈瘤介入栓塞治療護理中實施護理風險管理能夠有效減少并發癥，提高護理質量，提升患者的護理滿意率。

[關鍵詞] 顱內動脈瘤;介入治療;護理管理;風險管理;護理質量;滿意度

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1672-5654（2020）02（a）-0029-03

Study on Nursing Management of Patients with Intracranial Aneurysm Interventional Embolization

AN Zhi-yan

Department of Neurosurgery， Central Hospital of Liaoyuan， Liaoyuan， Jilin Province， 136200 China

[Abstract] Objective To explore the nursing management methods for patients with intracranial aneurysm interventional embolization. Methods From January 2017 to March 2019， a total of 92 patients with intracranial aneurysm were treated with interventional embolization. They were divided into two groups of 46 patients by the red and blue chromosphere method. The control group was managed by conventional nursing. The observation group was based on nursing risk management. The occurrence of complications， the incidence of nurse-patient disputes， the satisfaction rate of care and the quality of care. Results The incidence of complications in the observation group（10.87%） was significantly lower than that in the control group（30.43%）; the satisfaction rate of nursing in the observation group（97.83%） was significantly higher than that in the control group（82.61%）（P<0.05）; There was no statistically significant difference in the dispute rate comparison（P>0.05）; the environmental management， supplies preparation， surgical coordination， and risk prevention scores in the observation group were higher than those in the control group（P<0.05）. Conclusion The implementation of nursing risk management in the treatment of intracranial aneurysm interventional embolization can effectively reduce complications， improve the quality of care， and improve the satisfaction rate of patients.

[Key words] Intracranial aneurysm; Interventional therapy; Nursing management; Risk management; Nursing quality; Satisfaction

顱內動脈瘤主要由顱內動脈管腔局限性異常擴張引發所致，屬于神經外科高發腦血管病癥，具有較高的病死率[1]。目前主要采用介入栓塞術進行治療，但容易出現感染、血腫等并發癥，因此有必要研究更加合理的護理管理方案[2-3]。風險管理作為臨床應用廣泛的護理管理模式，要求醫護人員針對現有的潛在風險問題，對薄弱環節加以改進和完善，有計劃、有組織地排除風險因素，進而保障手術安全性[4-5]。該文現就顱內動脈瘤介入栓塞治療患者的護理管理方法和實踐效果展開研究，分析2017年1月—2019年3月間該院收治的92例顱內動脈瘤介入栓塞治療患者的臨床資料，現報道如下。

1? 資料與方法

1.1? 一般資料

選取該院收治的92例顱內動脈瘤介入栓塞治療患者。納入標準：①經全腦血管數字造影、血管造影術確診為顱內動脈瘤;②遵醫囑接受介入栓塞治療。……