颅内动脉瘤介入术后失眠护理体会.docVIP

颅内动脉瘤介入术后失眠护理体会 　　【摘要】 目的：分析颅内动脉瘤介入术后失眠的相关原因，对综合护理干预在颅内动脉瘤介入术后失眠中的应用效果进行评价。方法：选取2013年8月-2016年8月笔者所在医院收治的52例颅内动脉瘤介入术后失眠患者为研究对象，根据患者入院时间先后将其分为观察组和对照组，每组26例。对照组患者给予常规护理干预，在常规护理基础上，观察组患者增加综合护理干预，对两组护理后的各项临床指标进行评价和对比分析。结果：造成颅内动脉瘤介入术后失眠的主要原因包括患者经济困难、恐惧心理严重、疼痛、治疗引起不适感、依赖安眠药物等。经护理后，观察组患者睡眠质量指数评分均优于对照组，差异有统计学意义（P0.05）；观察组并发症发生率为7.70%，低于对照组的26.93%，护理后观察组HAMA、HAMD评分均明显优于对照组，差异均有统计学意义（P0.05）。结论：造成颅内动脉瘤患者介入治疗后失眠的原因是多方面的，综合护理干预可逐步改善其负面情绪，提升其睡眠质量，降低并发症发生率。 　　【关键词】 颅内动脉瘤； 介入治疗； 术后失眠； 相关原因； 综合护理干预 　　doi：10.14033/ki.cfmr.2017.13.033 文献标识码 B 文章编号 1674-6805（2017）13-0067-03 　　【Abstract】 Objective：To analyze the causes of insomnia after interventional intracranial aneurysm，and evaluate the effect of comprehensive nursing intervention on insomnia after intracranial aneurysm intervention.Method：52 patients with insomnia who underwent intracranial aneurysm implantation from August 2013 to August 2016 were divided into observation group and control group according to the time of admission.The patients in the control group were given routine nursing intervention.On the basis of routine nursing，the patients in the observation group were added with comprehensive nursing intervention.The clinical indexes of the two groups were evaluated and compared.Result：The main causes of insomnia after intracranial aneurysm intervention included economic difficulties，severe fear，pain，treatment-induced discomfort，dependence on sleeping drugs.After treatment，the scores of sleep quality index in the observation group were significantly better than those in the control group，the differences were statistically significant （P0.05）.The incidence of complications in the observation group was 7.70%，lower than the control group of 26.93%（P0.05）.After the nursing，the scores of HAMA and HAMD in the observation group were significantly better than those in the control group（P0.05）.Conclusion：The cause of insomnia after interventional treatment of intracranial aneurysm is multifaceted.Comprehensive nursing interventi