ABSTRACT
Objective@#To observe the role of family support nursing system in the continuous care of patients with home rest and recuperation after symptomatic internal carotid artery occlusion (SICAO) intervention.@*Methods@#Selecting patients with SICAO interventional procedures from August 2015 to July 2017, According to the continuous nursing method during the rest period, they were divided into the control group and the research group, with 45 cases in each group. The control group underwent routine continuous nursing intervention, and the study group implemented continuous nursing intervention based on the family support nursing system. The modified Rankin Scale (mRS) score, Barthel Index (BI) score, and Comprehension Social Support Scale (PSSS) scores were compared between the 2 groups at discharge and at 6 months of care intervention. The compliance of the two groups was compared at 2 weeks and 6 months, and the complications of the 2 groups were compared between 2 weeks and 6 months.@*Results@#There were no significant differences in the scores of mRS, BI and PSSS between the two groups at the time of discharge (P>0.05).When the nursing intervention is 6 months,mRS, BI score and PSSS scores, the research team is(1.54±0.23), (68.36±7.15), (23.75±2.36), (45.34±5.63), (69.09±7.12), the control group was(1.96±0.25), (61.33±6.70), (21.33±2.62), (41.15±4.71), (62.48±6.12), the study group was superior to the control group, and the difference was statistically significant (t=-8.294-5.182, P<0.05).The treatment adherence rate of the study group at 2 and 6 months was82.22%(37/45), 93.33%(42/45). Higher than the control group 57.78%(26/45), 64.44%(29/45). The difference was statistically significant(χ2=6.402, 11.275, P<0.05). The complication rate of the study group intervention from 2 weeks to 6 months2.22%(1/45). Lower than the control group13.33% (6/45). The difference was statistically significant (χ2=87.333, P<0.05).@*Conclusions@#Continuing nursing intervention based on family support nursing system can significantly improve the neurological function of patients after SICAO intervention, comprehend family and social support, improve daily living ability and treatment compliance, and reduce complications.
ABSTRACT
Objective To explore the influence of perioperative nursing for interventional open operation of patients with symptomatic internal carotid artery occlusion under the guidance of the Joint Commission International(JCI) concept. Methods The clinical data of 90 patients with symptomatic internal carotid artery occlusion treated by elective interventional open operation from January 2016 to February 2018 were retrospectively analyzed, of which 40 patients receiving routine nursing from January 2016 to January 2017 were set as control group, of which 50 patients receiving nursing guided by JCI concept from February 2017 to February 2018 were set as observation group. The Hamilton Depression Scale (HAMD) was used to evaluate the anxiety of patients at preoperative 1 h and postoperative 48 h, and the extubation time and hospitalization time were compared, as well as the incidence of complications and the patient's coordination degree. Results The HAMD scores of preoperative 1 h and postoperative 48 h of the observation group respectively was (26.58 ± 5.79) and (17.41 ± 4.18) points, of which the control group respectively was (29.75 ± 5.21) points and (22.26 ± 4.64) points, and the HAMD scores between the postoperative 48 h and preoperative 1 h in the 2 groups were statistically significant differences (t=9.080, 6.790, all P < 0.01), of which between the 2 groups were statistically significant differences (t=2.697, 5.208, all P < 0.01). The extubation time and hospitalization time of the observation group respectively was (3.81 ± 0.62) and (12.97 ± 3.65) d, of which the control group respectively was (4.39 ± 0.71) and (16.18±3.54) d, with statistically significant differences (t=4.134, 4.201, all P<0.01). The total incidence rate of complications of the observation group was 18.00％(9/50), of which the control group was 40.00％(16/40), with statistically significant differences (χ2=5.361, P<0.05). The good rate of coordination of the observation group was 76.00％(38/50), of which the control group was 55.00％(22/40), with statistically significant differences (χ2=4.410, P < 0.05). Conclusions The perioperative nursing based on the JCI concept guidance can relieve the anxiety of patients with symptomatic internal carotid artery occlusion treated by elective interventional open operation, shorten the postoperative recovery time, reduce the incidence of complications and improve the nursing coordination.