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目的对脑血管介入诊疗实施系统化临床管理,以降低介入术后股动脉假性动脉瘤的发生率。方法采用历史对照研究方法,将2012年10月—2013年10月与2014年3月—2015年3月的医护一体化系统临床管理模式实施前后的管理效果进行比较。该工作模式强化了医、护工作之间的合作,并将护理工作流程和应急预案形成临床路径,同时加强对护士的专科教育培训。结果实施系统化临床管理之后的介入术后股动脉假性动脉瘤发生率(1.0%)明显低于实施前(2.7%),差异有统计学意义(P<0.05)。结论医护一体化背景下实施系统化临床管理模式提高了护理质量,降低了脑血管介入术后股动脉假性动脉瘤的发生率,取得了明显成效,值得临床推广运用。
Objective To implement systematic clinical management of cerebrovascular interventional therapy to reduce the incidence of femoral pseudoaneurysm after interventional surgery. Methods The historical control study method was used to compare the management effectiveness before and after the implementation of the clinical management mode of the integrated healthcare system between October 2012-October 2013 and March 2014-March 2015. This mode of operation strengthens the cooperation between medical and nursing work and forms a clinical pathway for nursing workflow and contingency plans and strengthens the training of nurses in special education. Results The incidence of pseudoaneurysm of femoral artery after the intervention of systematic clinical management was significantly lower than that before implementation (1.0%), the difference was statistically significant (P <0.05). Conclusion The implementation of systematic clinical management mode under the background of healthcare integration improves the quality of nursing and reduces the incidence of pseudoaneurysm of femoral artery after cerebrovascular intervention, which has achieved remarkable results and worthy of clinical application.