Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization

Hong CHEN; Jian WU; Jinzhen ZHAN; Yunxia LONG; Yan CHEN; Zhen GU

doi:10.12259/j.issn.2095-610X.S20220431

Volume 43 Issue 4

Apr. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(4): 163-169

Hong CHEN, Jian WU, Jinzhen ZHAN, Yunxia LONG, Yan CHEN, Zhen GU. Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization[J]. Journal of Kunming Medical University, 2022, 43(4): 163-169. doi: 10.12259/j.issn.2095-610X.S20220431

Citation:

Hong CHEN, Jian WU, Jinzhen ZHAN, Yunxia LONG, Yan CHEN, Zhen GU. Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization[J]. Journal of Kunming Medical University, 2022, 43(4): 163-169. doi: 10.12259/j.issn.2095-610X.S20220431

Citation:

Hong CHEN, Jian WU, Jinzhen ZHAN, Yunxia LONG, Yan CHEN, Zhen GU. Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization[J]. Journal of Kunming Medical University, 2022, 43(4): 163-169. doi: 10.12259/j.issn.2095-610X.S20220431

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Efficacy of Integrated Nursing Care Combined with Enhanced Recovery after Surgery in Patients Undergone Cerebral Aneurysm Interventional Embolization

doi: 10.12259/j.issn.2095-610X.S20220431

Dept. of Neuro Surgery，Affiliated Hospital of Yunnan University， Kunming Yunnan 650021，China

Received Date: 2022-02-16
Available Online: 2022-04-02
Publish Date: 2022-04-25

Abstract

Abstract

Objective To explore the application of integrated nursing care combined with Enhanced Recovery after Surgery （ERAS） in patients undergone interventional embolization for ruptured cerebral aneurysms and its effect on recovery quality and short-term prognosis. Methods A total of 158 patients with ruptured cerebral aneurysms admitted to The Affiliated Hospital of Yunnan University from January 2019 to January 2021 were selected as the research subjects. All the patients were treated with interventional embolization within 1～10 days after admission. The patients were divided into two groups according to the order of admission.The control group （79 patients） was given traditional perioperative nursing care. The observation （79 patients） group was given integrated medical care combined with ERAS intervention. The early recovery （catheter indwelling time, postoperative awake time, length of hospital stay）, functional recovery before intervention and at discharge, including cognitive function （MMSE）, neurological function （NIHSS）, daily living ability （ADL）, average activity time and complications, were observed and compared between the two groups. Results The time of postoperative awakening, indwelling catheter and hospitalization length in the observation group were significantly shorter than those in the control group （P < 0.05）. The scores of MMSE and ADL in the observation group were higher than those in the control group, while the NIHSS score in the observation group was lower than that in the control group, and the average activity time （including active or passive activity） in the observation group was significantly longer than that in the control group （P < 0.05）. The incidence of complications in the observation group was 6.33%, which was significantly lower than 16% in the control group （P < 0.05）. Conclusion The integrated nursing care combined with ERAS intervention effectively improved the prognosis of patients, reduced the physiological and psychological stress state of patients, accelerated the process of postoperative rehabilitation, improved cognitive, neurological and activities of daily life, and reduced the risk of complications, which has a positive effect on short-term postoperative recovery.
- Integrated nursing,
- Enhanced recovery after surgery,
- Cerebral aneurysm; Aneurysmal subarachnoid hemorrhage,
- Quality of recovery,
- Cognitive function

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References(21)

References

[1]	Sharma D. Perioperative management of aneurysmal subarachnoid hemorrhage[J]. Anesthesiology,2020,1(6):1283-1305.
[2]	Rouanet C,Silva G S. Aneurysmal subarachnoid hemorrhage:Current concepts and updates[J]. Arq Neuropsiquiatr,2019,77(11):806-814. doi: 10.1590/0004-282x20190112
[3]	Li K,Barras C D,Chandra R V,et al. A review of the management of cerebral vasospasm after aneurysmal subarachnoid hemorrhage[J]. World Neurosurg,2019,9(126):513-527.
[4]	郭东昇,刘宇博,陈广祥,等. 加速康复外科模式下全膝关节置换术中“鸡尾酒”复合液不同使用方案的疗效分析[J]. 中华全科医学,2020,18(5):723-726,838.
[5]	冯斌,唐才喜,王强,等. 快速康复外科理念在地市级医院腹腔镜胰十二指肠切除围手术期的应用体会[J]. 肝胆胰外科杂志,2019,31(11):684-686.
[6]	杨雨洁,石晓伟,黄亮亮,等. 加速康复外科方案在青少年特发性脊柱侧凸围手术期的应用实践[J]. 中国脊柱脊髓杂志,2020,30(1):13-19. doi: 10.3969/j.issn.1004-406X.2020.01.03
[7]	银广红,杨志敏,刘伯芬,等. 医护一体化服务在老年股骨转子间骨折围术期谵妄患者中的应用[J]. 护士进修杂志,2019,34(1):77-79.
[8]	张彤宇,刘鹏,向思诗,等. 中国颅内破裂动脉瘤诊疗指南2021[J]. 中国脑血管病杂志,2021,18(8):546-574. doi: 10.3969/j.issn.1672-5921.2021.08.007
[9]	李云玲,鲍天昊,张亚洲,等. 左心室射血分数<45%的老年慢性心衰患者合并认知功能障碍的影响因素[J]. 昆明医科大学学报,2019,40(7):69-73. doi: 10.3969/j.issn.1003-4706.2019.07.013
[10]	王欢,颜晓敏,陈英,等. 致残性小卒中静脉溶栓后使用替罗非班抗血小板治疗的安全性和有效性[J]. 重庆医科大学学报,2020,45(1):132-135.
[11]	艾克拜尔·加马力,高伟. rt-PA动脉溶栓联合支架取栓对急性缺血性脑卒中治疗效果及近期预后的影响[J]. 临床误诊误治,2020,33(1):88-92. doi: 10.3969/j.issn.1002-3429.2020.01.021
[12]	Rabinstein A A,Lanzino G. Aneurysmal subarachnoid hemorrhage:Unanswered questions[J]. Neurosurg Clin N Am,2018,29(2):255-262. doi: 10.1016/j.nec.2018.01.001
[13]	Weimann A,Braga M,Carli F,et al. ESPEN guideline:Clinical nutrition in surgery[J]. Clin Nutr,2017,36(3):623-650. doi: 10.1016/j.clnu.2017.02.013
[14]	何强,许进. 动脉瘤性蛛网膜下腔出血患者行介入栓塞术与夹闭术的对照研究[J]. 神经损伤与功能重建,2019,14(11):578-580.
[15]	王丹,王新志,陈婧,等. 早期免疫营养干预对高血压脑出血患者免疫功能影响[J]. 华南预防医学,2019,45(6):540-543.
[16]	阎小雨,常志刚,肖诗柔,等. 重症病人代谢特点及营养支持策略[J]. 中华消化外科杂志,2021,20(5):574-578. doi: 10.3760/cma.j.cn115610-20210403-00164
[17]	周娅,陈倪. 经鼻肠管和鼻胃管肠内营养对重型颅脑损伤患者预后及并发症的影响[J]. 解放军预防医学杂志,2019,37(3):72-74.
[18]	Schneider S,Armbrust R,Spies C,et al. Prehabilitation programs and ERAS protocols in gynecological oncology:A comprehensive review[J]. Arch Gynecol Obstet,2020,301(2):315-326. doi: 10.1007/s00404-019-05321-7
[19]	刘亚萍,郑青青,嵇武. 基于ERAS理念在日间膝关节前交叉韧带重建微创手术护理中的应用[J]. 东南国防医药,2020,22(1):82-84. doi: 10.3969/j.issn.1672-271X.2020.01.019
[20]	赵资文,锡晓南,刘兆礼,等. 加速康复外科理念在高龄右半结肠癌患者中的应用[J]. 中国普外基础与临床杂志,2019,26(1):77-81.
[21]	刘冰,刘丰果. VTE风险评估+分级护理干预在aSAH术后昏迷患者中的应用价值[J]. 国际医药卫生导报,2020,26(4):574-576. doi: 10.3760/cma.j.issn.1007-1245.2020.04.043

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