精细护理干预对颅内动脉瘤介入治疗患者神经功能恢复和预后改善的影响

IF 1.7 4区 医学 Q4 NEUROSCIENCES
International Journal of Neuroscience Pub Date : 2025-07-01 Epub Date: 2024-04-01 DOI:10.1080/00207454.2024.2333478
Wenfang Ma, Shixing Li, Xiuhua Wang, Zukuan Chang, Jing Ma
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引用次数: 0

摘要

研究背景本研究旨在探讨精细化护理干预在未破裂颅内动脉瘤介入治疗患者中的应用,评价其对神经功能恢复和预后改善的影响:将 2022 年 2 月至 2023 年 6 月期间在我院确诊并接受治疗的颅内动脉瘤患者纳入本次研究。在应用完整的纳入和排除标准以确保样本代表性后,共有 92 例患者被纳入研究。采用随机方法将患者分为观察组和对照组。对照组接受常规护理,观察组接受精细化护理干预。对两组患者的护理效果进行比较,采用适当的方法进行统计分析,并对结果进行内容分析总结:结果:与对照组相比,干预后观察组的神经功能缺损(NFD)评分明显提高(P = 0.023)。此外,在干预后的格拉斯哥结果量表(GOS)中,观察组的五级患者比例更高(P = 0.031)。此外,观察组在运动功能方面的 Fugl Meyer 评估(FMA)得分明显高于对照组(P = 0.003)。观察组的头痛强度和不良反应也低于对照组(P = 0.018,0.038):对接受颅内动脉瘤介入治疗的患者进行精细化护理干预,可在神经功能恢复和预后改善方面取得更好的效果。减少了护理实践中的不确定性,有效提高了护理效果,值得临床应用和推广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of refined nursing intervention on neurological function recovery and prognosis improvement in patients undergoing intracranial aneurysm intervention.

Background: This study aims to explore the application of refined nursing intervention in patients undergoing unruptured intracranial aneurysm intervention, evaluating its impact on neurological function recovery and prognosis improvement.

Methods: Patients diagnosed with intracranial aneurysms and undergoing treatment at our hospital from February 2022 to June 2023 were included in this study. After applying complete inclusion and exclusion criteria to ensure sample representativeness, a total of 92 patients were enrolled. Using a randomization method, patients were divided into an observation group and a control group. The control group received routine nursing care, while the observation group received refined nursing intervention. Nursing effects were compared between the two groups, and statistical analysis was conducted using appropriate methods, with content analysis summarizing the results.

Results: The observation group, post-intervention, exhibited significantly improved Neurological Function Deficit (NFD) scores compared to the control group (p = 0.023). Additionally, the observation group showed higher proportions of Grade V patients in the Glasgow Outcome Scale (GOS) post-intervention (p = 0.031). Moreover, Fugl Meyer Assessment (FMA) scores for motor function were notably higher in the observation group than the control group (p = 0.003). The observation group also reported lower headache intensity and fewer adverse outcomes than the control group (p = 0.018, 0.038).

Conclusion: Refined nursing intervention in patients undergoing intracranial aneurysm intervention demonstrates better outcomes in terms of neurological function recovery and prognosis improvement. It reduces uncertainty in nursing practices, effectively enhancing nursing outcomes, and warrants clinical application and promotion.

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来源期刊
CiteScore
5.10
自引率
0.00%
发文量
132
审稿时长
2 months
期刊介绍: The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders.  The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.
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