| 沈怡琼,张艳蓉,王晓静,郎黎薇,黄莺.多学科融合下护理流程优化对颈动脉支架植入术患者预后的影响[J].上海护理,2020,20(S1): |
| 多学科融合下护理流程优化对颈动脉支架植入术患者预后的影响 |
| Effect of nursing process optimization on prognosis of patients with carotid artery stenting under multidisciplinary integration |
| DOI： |
| 中文关键词: 多学科融合 护理流程优化 颈动脉支架植入 患者预后 |
| 英文关键词:multidisciplinary integration optimization of nursing process carotid artery stenting patient outcome |
| 基金项目:上海市卫生计生系统重点薄弱学科建设计划项目（2015ZB0301） 复旦大学附属华山医院科研启动基金支持（2016QD21） |
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| 中文摘要: |
| 目的 探讨多学科融合下的护理流程优化对颈动脉支架植入术患者预后的影响。 方法 便利选取2019年1月—2019年12月入住复旦大学附属华山医院确诊为颈动脉狭窄并拟定行颈动脉支架植入术的76例患者为研究对象，前6个月入院患者为对照组（37例），后6个月入院患者为实验组（39例）。对照组患者按常规神经外科护理流程进行护理，实验组患者在多学科融合背景下，采用优化后的护理流程进行护理，观察干预前后两组患者并发症发生率、住院时间、住院满意度、二级预防措施的执行率及血脂水平的影响。 结果 两组患者在并发症发生率、住院时间、住院满意度、二级预防措施的执行率及血脂指标比较差异有统计学意义（P<0.05）。实验组患者并发症发生率低于对照组（P<0.01），住院时间少于对照组（P<0.01），住院满意度高于对照组，出院后3个月复诊二级预防措施的执行率及血脂指标优于对照组（P<0.05）。 结论 多学科融合下的护理流程优化可以有效地减少颈动脉支架植入术患者并发症的发生率，缩短住院时间，提高住院满意度，提高患者疾病二级预防措施的执行率，改善血脂指标。 |
| 英文摘要: |
| Objective To explore the effect of nursing process optimization under multidisciplinary integration on the prognosis of patients with carotid artery stenting. Methods Conveniently select 76 patients who were diagnosed as carotid stenosis and developed carotid stenting in a third-grade hospital in Shanghai from January 2019 to December 2020. The patients admitted to the hospital in the first 6 months were the control group(37 cases), the patients admitted to the hospital in the last 6 months were the experimental group (39 cases). The patients in the control group were treated according to the routine neurosurgical nursing process.
The patients in the experimental group were treated with the optimized nursing process under the background of multi-disciplinary integration,the incidence of complications, length of stay, satisfaction degree of stay, implementation rate of secondary prevention and the influence of blood lipid level were observed before and after intervention. Results There were significant differences between the two groups in the incidence of complications, length of stay, hospital satisfaction, the implementation rate of secondary prevention measures and blood lipid indexes(P<0.05).The complication rate of the experimental group was lower than that of the control group（P<0.01），the length of stay was less than that of the control group（P<0.01）,the satisfaction degree of hospitalization was higher than that of control Group, and the rate of implementing secondary prevention measure and Blood Lipid index of 3 months after discharge was better than that of Control Group（P<0.05）.
Conclusion Multidisciplinary nursing process optimization can effectively reduce the incidence of complications in patients undergoing carotid stent implantation,shorten the length of stay in hospital, improve the degree of satisfaction in hospital, improve the implementation rate of secondary prevention measures, improve the blood lipid index. |
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