【摘要】 目的 探究持续质量改进围手术期护理管理对A型主动脉夹层患者术后康复进程以及健康行为的影响。方法 河南省胸科医院2022年5月至2024年12月共收治了100例A型主动脉夹层术后患者，将患者按照随机数表法随机分为对照组(常规围手术期护理)和观察组(持续质量改进围手术期护理),各50例。评估持续质量改进围手术期护理管理对A型主动脉夹层患者术后康复进程以及健康行为的影响。结果 相较于对照组，观察组护理1个月后术后清醒时间、气管插管时间、术后下床活动时间以及住院治疗时间较短，48 h胸腔引流量较少(P<0.05)。护理1个月后，观察组左室射血分数(LEVF)、左室舒张末容积(LVEDV)水平均较对照组高，左室舒张末内径(LVEDD)水平均较对照组低(P<0.05)。两组护理1个月后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低且观察组评分更低(P<0.05)。相较于对照组，观察组护理并发症发生率较低(P<0.05)。两组护理1个月后健康信念、自我管理评分升高且观察组评分更高(P<0.05)。结论 持续质量改进围手术期护理管理能有效加速A型主动脉夹层患者的术后康复进程并缓解患者焦虑、抑郁情绪的同时还可降低护理并发症发生率并增强患者的健康信念和自我管理能力。更多还原

【Abstract】 Objective To investigate the impact of continuous quality improvement perioperative nursing management on the postoperative recovery process and health behaviours of patients with type A aortic aneurysms.Methods From May 2022 to December 2024, Henan Provincial Chest Hospital admitted a total of 100 patients who underwent type A aortic dissection surgery. These patients were randomly divided into control group(receiving conventional perioperative nursing care) and observation group(receiving continuous quality improvement in perioperative nursing care) using a random number table method, with 50 patients in each group. The impact of continuous quality improvement in perioperative nursing management on postoperative rehabilitation progress and healthy behaviors in patients with type A aortic dissection was evaluated. Results Compared to the control group, the observation group had shorter postoperative wake-up time, tracheal intubation time, postoperative ambulation time, and hospitalization duration, as well as less 48-hour chest drainage volume after one month of nursing(P<0.05). After 1 month of nursing care, the left ventricular ejection fraction(LEVF) and left ventricular end-diastolic volume(LVEDV) levels in the observation group were higher than those in the control group, while the left ventricular end-diastolic diameter(LVEDD) levels were lower than those in the control group(P<0.05). After one month of nursing care, the scores of both groups on the self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) decreased, and the scores in the observation group were even lower(P<0.05). Compared to the control group, the observation group had lower incidence of nursing complications(P<0.05). After one month of nursing care, both groups showed an increase in health belief and self-management scores, with the observation group scoring higher(P<0.05). Conclusion Continuous quality improvement of perioperative nursing management can effectively facilitate the postoperative recovery process of patients with type A aortic aneurysms, alleviate patient anxiety and depression, reduce the occurrence of nursing complications and increase patient health beliefs and self-management skills.更多还原