Effects of evidence-based nursing on the psychological status and complications after interventional embolization of intracranial aneurysms

Abstract

Objective To investigate the effects of evidence-based nursing on the psychological status, operation associated complications and short-term prognosis of patients with intracranial aneurysms after interventional embolization. Methods A total of 150 patients undergoing elective interventional embolization in the hospital from May 2012 to May 2016 were randomly divided into the control group and the observation group with 75 patients each. The control group were given routine nursing care while the observation group were given evidence-based nursing. The incidence of operation associated complications and postoperative cerebral vasospasm were compared between the two groups. The changes in scores of the Self-Rating Anxiety Scale (SAS) , Self-Rating Depression Scale (SDS) , Somatization Symptom Checklist (SCL-90) and Glasgow Outcome Scale (GOS) before and after intervention were compared. Results No postoperative cerebral vasospasm was observed in the observation group, and the incidence of operative complications was 4%. In the control group, cerebral vasospasm occurred in 7 cases, and the incidence of operative complications was 17.3%. Before discharge, SAS score (42.26±3.77) and SDS score (40.67±6.44) in the observation group were lower than those in the control group (t=8.478, 4.507; P<0.001) . No death cases in these two groups. Three months later after operation, patients with GOS grade 5 in the observation group was 30.67%, and it was 13.33% in the control group. There was significant difference of GOS classification between the two groups (H=15.520, P<0.01) . Conclusions Evidence-based nursing can help reduce the incidence of cerebral vasospasm after interventional embolization in patients with intracranial aneurysms, improve their anxiety and depression, and optimize short-term prognosis. Key words: Intracranial aneurysm; Evidence-based nursing; Cerebral vasospasm; Interventional embolization