个性化护理干预在二次手术主动脉夹层患者中的应用:附1例报告

回顾分析1例主动脉夹层行血管腔内修复术后二期腔内再干预患者的临床资料，总结其护理方法。此患者高血压病史10年余，未规律治疗，曾因胸主动脉夹层行胸主动脉支架置入术，术后血压控制不佳，18月后复查发现腹主动脉段假腔增大，再次行血管腔内治疗。根据此患者的病情特点，给予个性化的整体护理干预，包括血压管理、疼痛护理、心理护理、预防便秘、预防跌倒及预防并发症等。经过2周的治疗及护理，患者顺利出院，出院后继续给予延续性护理，指导其改善生活方式，完善自我监测，患者目前恢复良好。个性化的整体护理措施，对患者术后的康复有着积极的作用。 

Application of personalized holistic nursing service on aortic dissection patients who had secondary operation: a case report

This report retrospectively reviewed the medical materials of an aortic dissection patient who had undergone a second operation of endovascular aortic repair, and summarized some experience from this nursing case. This patient had a ten-year history of hypertension, which had not been treated regularly. He had received endovascular thoracic aortic repair because of thoracic aortic dissection, after which the blood pressure was poorly controlled. 18 months later, he was found to have abdominal aortic dissection and a second surgery was performed. Personalized holistic nursing care was carried out, which included blood pressure management, pain nursing care, mental nursing, and prevention of constipation, fall and complications. After 2 weeks of treatment and nursing care, the patient was discharged without any complication, and the nursing care was continued, including lifestyle modification and self-monitoring suggestions. Now the patient recovers well. Personalized holistic nursing care has positive effects on the recovery of postoperative patients.