赵燕玲

摘要：目的：研究优质护理服务模式对主动脉夹层患者术后并发症和生活质量的影响。方法：前瞻性对比研究于2020年6月至2021年6月在我院接受主动脉夹层主动脉夹层介入术治疗的患者。对照组患者术后接受优势护理服务模式，常规组患者接受常规护理。对比两组患者术后并发症发生率、护理服务满意度以及生活质量评价结果。结果：对照组及常规组分别纳入60例主动脉夹层患者且均行介入手术，两组患者具有可比性。对照组术后并发症的发生率（11.67%）显著少于常规组（35.00%），P<0.05。对照组患者对于血透期间的护理服务评价（96.67%）明显高于常规组（85.00%），P<0.05。对照组患者的生活质量评价指标明显优于常规组，P<0.05。结论：优质护理服务模式对于主动脉夹层患者介入术后康复影响显著，有利于减少主动脉夹层患者术后并发症，以及提高患者生活质量。

关键词：优质护理;冠心病;主动脉夹层;并发症;生活质量

Influence of high-quality nursing model on postoperative patients with aortic dissection

【Abstract】Objective： To study the effect of high-quality nursing service model on postoperative complications and quality of life of patients with aortic dissection. Methods： A prospective comparative study of patients undergoing interventional treatment for aortic dissection in our hospital from June 2020 to June 2021. The patients in the control group received the superior nursing service model after the operation， and the patients in the routine group received routine nursing. The postoperative complication rate， nursing service satisfaction and quality of life evaluation results were compared between the two groups.Results： The control group and the routine group included 60 patients with aortic dissection and all underwent interventional surgery. The two groups were comparable. The incidence of postoperative complications in the control group （11.67%） was significantly lower than that of the conventional group （35.00%）， P<0.05. The evaluation of nursing service of patients in the control group during hemodialysis （96.67%） was significantly higher than that of the routine group （85.00%）， P<0.05. The quality of life evaluation index of patients in the control group was significantly better than that of the conventional group， P<0.05.Conclusion： The high-quality nursing service model has a significant impact on the rehabilitation of patients with aortic dissection after interventional surgery， which is beneficial to reduce postoperative complications of patients with aortic dissection and improve the quality of life of patients.

[Keywords] quality care; coronary heart disease; aortic dissection; complications; quality of life

隨着近些年老龄化社会的持续发展以及人们身体状况的不断减弱，导致心脑血管疾病的发生不断提高。主动脉夹层属于一种主动脉疾病，其主要是因为主动脉内膜局部撕裂，再加上主动脉腔体内存在较多血液流入，从而导致内膜剥离并形成真假腔。主动脉夹层在临床中的发病率相对较低，一般是以老年群体为主，男性患者相对较多，急性发病期很容易导致心脏压塞、心律失常，此时会对患者的生命安全形成严重威胁[1]-[2]。临床中对于主动脉夹层患者主要是采用介入术方式进行治疗，整体干预效果具备创伤小、操作便捷以及手术时间比较短等优势，临床中患者在术后心肌功能恢复比较好，可以有效扩张冠状动脉。……