| 李宁,宋鹏,冯美歌.多模态神经监测联合心理护理对A型主动脉夹层患者术后恢复及生活质量的影响[J].济宁医学院学报,2026,49(1):57-62 |
| 多模态神经监测联合心理护理对A型主动脉夹层患者术后恢复及生活质量的影响 |
| Analysis of the effect of multimodal neural monitoring combined with psychological nursing intervention on postoperative recovery and quality of life in patients with type A aortic dissection |
| 投稿时间：2025-11-06 |
| DOI：10.3969/j.issn.1000-9760.2026.01.010 |
| 中文关键词: 多模态神经监测;心理护理干预;A型主动脉夹层;生活质量 |
| 英文关键词: Multimodal neural monitoring;Psychological nursing intervention;Type A aortic dissection;Quality of life |
| 基金项目:河南省医学科技攻关计划(LHGJ20220229) |
| 作者 | 单位 | | 李宁 | 河南省胸科医院/郑州大学附属胸科医院心血管外科, 郑州 450000 | | 宋鹏 | 河南省胸科医院/郑州大学附属胸科医院心血管外科, 郑州 450000 | | 冯美歌 | 河南省胸科医院/郑州大学附属胸科医院心血管外科, 郑州 450000 |
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| 中文摘要: |
| 目的 探究多模态神经监测联合心理护理干预在A型主动脉夹层患者术后恢复及生存质量的影响效果。方法 选取2024年1月-2025年5月, 在我院接受手术治疗的A型主动脉夹层患者120例, 随机分为对照组和观察组, 每组60例。对照组接受心理护理干预, 观察组在对照组的基础上采用多模态神经监测, 比较两组患者ICU停留时间、住院时间、术后神经功能缺损评分(NIHSS)、生活质量评分、并发症发生率及护理满意度。结果 观察组ICU停留时间(5.25±1.63) d, 住院时间(14.27±3.58) d, 对照组ICU停留时间(7.85±2.42) d, 住院时间(18.65±4.23) d。与对照组比较, 观察组停留时间、住院时间均显著缩短, 比较均具有统计学意义(t=6.898, P < 0.001;t=6.124, P < 0.001)。干预后, 观察组NIHSS评分(7.32±1.85)分, 对照组NIHSS评分(10.25±2.14)分, 观察组NIHSS评分显著低于对照组(t=8.031, P < 0.001);观察组生存质量总体健康评分(74.62±7.02)分, 对照组(63.98±6.85)分, 观察组生存质量评分显著高于对照组(t=8.395, P < 0.001);观察组并发症总发生率5.00%, 对照组26.66%, 观察组并发症总发生率显著低于对照组(χ2=10.568, P=0.001);观察组护理满意度91.67%, 对照组75.00%, 观察组满意度显著高于对照组(χ2=6.000, P=0.014)。结论 多模态神经监测联合心理护理干预可有效促进TAAD患者术后神经功能恢复, 降低并发症风险, 提升生存质量, 具有临床推广价值。 |
| 英文摘要: |
| Objective To explore the effect of multimodal neuro-monitoring combined with psychological nursing intervention on postoperative recovery and quality of life in patients with type A aortic dissection (TAAD). Methods 120 patients with type A aortic dissection who underwent surgical treatment in our hospital from January 2024 to May 2025 were randomly divided into a control group and a study group, with 60 patients in each group.The control group received psychological nursing intervention, while the study group used multimodal neural monitoring (including electroencephalogram, near-infrared spectroscopy, transcranial Doppler, etc.) on the basis of the control group.The ICU stay time, hospitalization time, postoperative neurological deficit score (NIHSS), quality of life score, incidence of complications, and nursing satisfaction were compared between the two groups of patients. Results Compared with the control group, the observation group showed a significant decrease in ICU stay time (5.25±1.63 days vs 7.85±2.42 days, t=6.898, P < 0.001) and hospitalization time (14.27±3.58 days vs 18.65±4.23 days, t=6.124, P < 0.001);after intervention, the NIHSS score in the observation group (7.32±1.85 points vs 10.25±2.14, t=8.031, P < 0.001) was significantly lower than that in the control group; the overall health score of the observation group's quality of life (74.62±7.02 points vs 63.98±6.85 points, t=8.395, P < 0.001) was significantly higher than that of the control group; the total incidence of complications in the observation group (5.00%vs 26.66%, χ2=10.568, P=0.001) was significantly lower than that in the control group; the overall satisfaction with nursing care in the observation group (91.67%vs 75.00%, χ2=6.000, P=0.014) was significantly higher than that in the control group. Conclusion Multi modal neural monitoring combined with psychological nursing intervention can effectively promote postoperative neurological function recovery, reduce the risk of complications, and improve the quality of life in TAAD patients, which has clinical promotion value. |
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