以问题为导向的护理模式在脑动脉瘤破裂后脑血管痉挛中的应用-现代医学

以问题为导向的护理模式在脑动脉瘤破裂后脑血管痉挛中的应用

单位：上海市中医药大学附属曙光医院重症监护室

分类号：

出版年·卷·期（页码）：2015··第十期（0-）

摘要：

目的：探讨以问题为导向的管理模式在脑动脉瘤破裂后脑血管痉挛护理中的应用价值。方法：选取我院收治的5¹例破裂动脉瘤后脑血管痉挛患者作为研究对象，按照随机数字表法分为对照组²5例和观察组²6例，对照组仅给予动脉瘤常规护理，观察组给予以问题为导向的管理模式。结果：护理干预后，观察组患者SAS 评分及SÐS 评分与对照组比较均明显改善，两组比较差异有显著性统计学意义（P＜0.0¹）；观察组总有效率为9².³¹%，对照组为76.00%，两组比较差异有显著性统计学意义（P＜0.0¹）。观察组患者总体满意度为¹00.00%，对照组为84.00%，两组比较差异有显著性统计学意义（P＜0.0¹）。结论：以问题为导向的护理管理模式能明显减少动脉瘤破裂后脑血管痉挛患者的焦虑、抑郁情绪，提高患者治疗效果和护理满意度，值得临床广泛推广和应用。

Objðcþivð: Þº invðsþigâþð þhð âpplicâþiºns ðffðcþs ºn þhð cðrðbrâl vâsºspâsm pâþiðnþs âfþðr ânðurýsm rupþurð bý þhð Prºblðm-bâsðd Lðârning Mânâgðmðnþ Mºdðl. Mðþhºds:5¹ câsðs ºf pâþiðnþs wiþh cðrðbrâl vâsºspâsm pâþiðnþs âfþðr ânðurýsm rupþurð wðrð sðlðcþðd ând rândºmlý dividðd inþº þwº grºups. ²6 câsðs ºf Obsðrvâþiºn grºup wðrð þrðâþðd wiþh Prºblðm-bâsðd Lðârning Mânâgðmðnþ Mºdðl whilð ²5 câsðs ºf Cºnþrºl grºup wðrð þrðâþðd wiþh Rºuþinð cârð. Rðsulþs:Obsðrvâþiºn grºup imprºvðþhân bðþþðr ºf SAS scºrðs ând SÐS scºrðs in cºnþrºl grºup,þhðrð wâs sþâþisþicâl significâncð(P <0.0¹);Fºr ºbsðrvâþiºn grºup ând cºnþrºl grºup, þhð þºþâl ðfficiðncýwðrð 9².³¹% ând 76.00%,þhðrð wâs sþâþisþicâl significâncð（P <0.0¹）; Fºr ºbsðrvâþiºn grºup ând cºnþrºl grºup, þhð sâþisfâcþiºn râþðs wðrð ¹00.00% ând 84.00%,þhðrð wâs sþâþisþicâl significâncð（P <0.0¹）.Cºnclusiºn:Þhrºugh þhð Prºblðm-bâsðd Lðârning Mânâgðmðnþ Mºdðl cân rðducð cðrðbrâl vâsºspâsm pâþiðnþs âfþðr ânðurýsm rupþurðânxiðþý ând dðprðssiºns, imprºvð þhð quâliþý ºf lifð ºf þhð pâþiðnþs. Iþ is wºrþhý ºf widðr prºmºþiºn ând âpplicâþiºn. imprºvð þhð clinicâl ºuþcºmðs ând sâþisfâcþiºn râþðs. Iþ is wºrþhý ºf widðr prºmºþiºn ând âpplicâþiºn.

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