Effect of predictive nursing on prevention of complications after endarterectomy of carotid artery stenosis
预见性护理在预防颈动脉狭窄内膜剥脱术后并发症中的效果

摘要

目的 分析接受颈动脉狭窄内膜剥脱术的患者，在围术期实施不同护理方式的效果差异，探讨 预见性护理对于预防此类患者出现术后并发症的效果。方法 选取 2021 年 2 月至 2022 年 2 月期间，部分在 我院接受颈动脉狭窄内膜剥脱术治疗的患者进行对比护理，分组时保持每组人数均等，对照组为常规护理， 研究组为预见性护理，对比护理效果、术后并发症等。结果 （1）对患者接受护理前后的患者的生活质量 以及心理状态进行评分，在护理之前不存在显著差异（p＞0.05），但护理后研究组患者的各项能力评分更 加优异（p＜0.05）；（2）两组患者在护理后出现副作用的概率差异显著（p＜0.05）；（3）在护理满意度 方面，研究组患者的更加满意（p＜0.05）。结论 患者在接受颈动脉狭窄内膜剥脱术后出现并发症会影响治 疗效果，在预见性护理下可针对患者实施更全面的护理指导，具有前瞻性，同时可改善患者的生活质量、 心理状态，可推广应用。

Abstract

Objective To analyze the effect difference of different nursing methods in perioperative period for patients undergoing carotid artery stenosis endarterectomy, and to explore the effect of predictive nursing on preventing postoperative complications in such patients.
Methods From February 2021 to February 2022, part of the patients receiving carotid artery stenosis endarterectomy treatment in our hospital were selected for comparative nursing, and the number of patients in each group was kept equal. The control group was routine nursing, and the research group was predictive nursing, and the nursing effect and postoperative complications were compared.
Results (1) the quality of life and mental state of patients before and after nursing were scored, there was no significant difference before nursing (p > 0.05), but the ability scores of patients in the nursing group were more excellent (p < 0.05); (2) There was significant difference in the probability of side effects between the two groups after nursing (P < 0.05); (3) In terms of nursing satisfaction, patients in the study group were more satisfied (P < 0.05).
Conclusion   Complications after carotid artery stenosis intimal stripping will affect the treatment effect. Under predictive nursing, more comprehensive nursing guidance can be implemented for patients, which is forward-looking and can improve the quality of life and psychological state of patients, and can be popularized and applied.