烟雾病联合血管重建术后并发症预防的循证护理实践

目的探讨循证护理实践对烟雾病患者联合血管重建术后并发症及生活质量的影响。方法将2018年1月-2019年1月收治于复旦大学附属华山医院神经外科因烟雾病接受联合血管重建术的93例患者随机分为观察组(n=46)和对照组(n=47)。对照组进行常规术后护理,观察组在此基础上根据PICO原则提出循证护理问题、检索循证支持证据、建立循证护理实践方案并实施。观察两组患者术后1周内继发性颅内出血、脑缺血发作、癫痫、谵妄等并发症发生情况;并比较两组患者出院后3个月的生活质量。结果观察组术后并发症总体发生率少于对照组(P<0.05),且出院后3个月的生活质量优于对照组(P<0.05)。结论循证护理实践干预有效减少了烟雾病联合血管重建术患者术后并发症的发生率,有利于促进患者术后生活质量的提高。

Evidence-based Nursing Practice for Prevention of Complications after Combined Vascular Reconstruction in the Treatment of Moyamoya Disease

Objective To investigate the influence of evidence-based nursing practice on complications and quality of life in patients with moyamoya disease after receiving combined vascular reconstruction.Methods Ninety three patients undergoing combined vascular reconstruction for moyamoya disease in the Department of Neurosurgery,Huashan Hospital Affiliated to Fudan University from January 2018 to January 2019 were randomly divided into the observation group(n=46)and the control group(n=47).The patients in the control group received routine postoperative nursing.On the basis,evidence-based nursing problems were proposed according to the PICO principle,evidence-based supporting evidence was retrieved,and evidence-based nursing plan was established and executed to the patients in the observation group.Complications including secondary intracranial hemorrhage,cerebral ischemia,epilepsy and delirium were observed 1 month after operation in both groups;then the quality of life was compared among the patients in both groups 3 months after their discharge.Results The overall incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05),and the quality of life 3 months after discharge in the observation group was superior to that in the control group(P<0.05).Conclusion Evidence-based nursing intervention effectively reduced the incidence of postoperative complications in patients with moyamoya disease after receiving combined vascular reconstruction,which was conducive to improve the postoperative quality of life of patients.