以时机理论为导向的个性化精准护理在老年患者行经皮颈动脉支架置入术中的应用观察

Observation on application of personalized precision nursing guided by timing theory in elderly patients undergoing percutane-ous carotid artery stenting

中文关键词: 老年  经皮颈动脉支架置入术  以时机理论为导向  个性化精准护理  运用  临床观察

英文关键词: elderly  percutaneous carotid artery stenting  guidance on timing theory  personalized precision nursing  application  clinical observation

中文摘要:

      目的 观察以时机理论为导向的个性化精准护理在老年患者施行经皮颈动脉支架置入术(CAS)中的应用效果.方法 选取2022年2月—2024年8月于濉溪县人民医院收治的90例CAS老年患者,采用随机数字表法分为观察组(n=45)和对照组(n=45).2组均进行经皮颈动脉支架置入术,观察组患者采用以时机理论为导向的个性化精准护理,对照组采用常规护理.比较2组生存质量(QOL)-35量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分.结果 干预后6个月,观察组SAS评分、SDS评分均低于对照组(P＜0.05);生活环境、社会功能、心理功能、独立生活能力和一般健康评分均高于对照组(P＜0.05);HDL-C高于对照组,LDL-C、TG、TC均低于对照组(P＜0.05);住院费用少于对照组(P＜0.05);住院时间短于对照组(P＜0.05);同时,观察组并发症低于对照组(P＜0.05).结论 老年患者在施行经皮颈动脉支架置入术时,采用以时机理论为导向的个性化精准护理,临床效果显著.

英文摘要:

      Objective To observe the application effects of personalized precision nursing guided by timing theory in elderly patients undergoing percutaneous carotid artery stenting(CAS).Methods 90 elderly patients who underwent percuta-neous CAS in People's Hospital of Suixi County from February 2022 to August 2024 were selected and randomly divided into observation group(n=45)and control group(n=45)using a random number table.Both groups received percutaneous CAS.The observation group received personalized precision nursing guided by timing theory,while the control group received routine nursing.The scores of the Quality of Life(QOL)-35 scale,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were compared between the two groups.Results 6 months after intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(P＜0.05);the scores of living environment,social function,psychological function,independent living skills,and general health in the observation group were significantly higher than those in the control group(P＜0.05).The HDL-C level in the observation group was significantly higher than that in the control group,while the levels of LDL-C,TG and TC were significantly lower than those in the control group(P＜0.05).The hospitalization costs of the observation group were significantly lower than that of the control group(P＜0.05),and the length of hospital stay was significantly shorter than that of the control group(P＜0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P＜0.05).Conclusion When elderly patients under-go percutaneous CAS,personalized precision nursing guided by the timing theory may achieve remarkable clinical results.