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目的探讨青年颅内动静脉畸形患者术前焦虑状况,并总结其护理干预措施。方法回顾性分析2015年1月至2016年4月新疆医科大学第一附属医院神经外科收治的颅内动静脉畸形青年患者84例的临床资料。所有患者均在全身麻醉下实施动静脉畸形切除术,术前均详细记录其术前焦虑水平,并在常规护理的基础上实施心理护理及健康宣教。结果84例患者在术前均发生不同程度的焦虑(轻、中、重度焦虑分别为39例、32例、13例)。经心理护理后,患者均有不同程度的好转,均能顺利完成手术,手术时间为185~250min,平均(156±21.4)min。所有患者均未发生并发症,住院时间8~12d,平均(7.5±11.5)d。患者术后随访3~12个月,随访期间有1例患者复发;1例患者发生再出血。结论早期对患者进行良好的心理指导和健康宣教,可明显降低青年颅内动静脉畸形患者术前焦虑,有利于患者疾病康复。
Objective To investigate the preoperative anxiety status of patients with intracranial arteriovenous malformations and to summarize their nursing interventions. Methods The clinical data of 84 young patients with intracranial arteriovenous malformation admitted to Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University from January 2015 to April 2016 were retrospectively analyzed. All patients underwent general anesthesia arteriovenous malformation resection, preoperative detailed records of their preoperative anxiety levels, and on the basis of routine care to implement psychological care and health education. Results 84 patients had different degrees of anxiety before surgery (mild, moderate and severe anxiety were 39 cases, 32 cases, 13 cases). After psychological care, the patients all improved in varying degrees, and the operation can be successfully completed. The operation time was 185-250 minutes, with an average of (156 ± 21.4) min. All patients did not have complications, hospitalization 8 ~ 12d, an average of (7.5 ± 11.5) d. Patients were followed up for 3 to 12 months, 1 patient relapsed during follow-up; 1 patient had rebleeding. Conclusion Good early psychological guidance and health education for patients can significantly reduce the preoperative anxiety in patients with intracranial arteriovenous malformations, which is good for the recovery of patients.