1.Nursing care of a patient in the second trimester of pregnancy who underwent hypothermia after ruptured cerebellar arteriovenous malformation
Jie YU ; Jun WANG ; Yuanyuan JI ; Naqin ZHANG
Chinese Journal of Nursing 2023;58(24):3018-3022
The nursing experience of a pregnant woman with ruptured cerebellar arteriovenous malformation and hemorrhage with consciousness disorder at 20+weeks of pregnancy was summarized.The key points of nursing include:postoperative management of pregnancy combined with brain arteriovenous malformation composite surgery,nursing management of hypothermia treatment in the second pregnancy,the safety of patients and fetus and the whole prevention of complications;early rehabilitation training in stages,and postpartum management based on the recovery of neurological function.Through careful and professional treatment and nursing,the patient had a good prognosis,and was transferred to the rehabilitation department to continue rehabilitation treatment.
2.The illness experience of patients with unruptured intracranial aneurysm undergoing interventional treatment: a qualitative research
Naqin ZHANG ; Xin GUAN ; Jun WANG
Chinese Journal of Practical Nursing 2023;39(29):2298-2304
Objective:To deeply understand the illness experience of patients with unruptured intracranial aneurysm undergoing interventional treatment, and to provide reference for formulating targeted nursing intervention programs.Methods:The semi-structured interview method of qualitative research was used to conduct in-depth interviews in 17 patients with unruptured intracranial aneurysm undergoing interventional treatment. Data were analyzed by content analysis method.Results:Five themes and ten sub-themes were extracted, including limited disease cognition (ignoring disease symptoms, wrong medical treatment behavior), uncertainty of disease (fear of aneurysm rupture, fear of disease recurrence), trusting in medical resources (trusting diagnosis and treatment technology, satisfactory medical service), desire for social support (hope for family members′companionship, expecting the concern of doctors and nurses), positive self-management (maintaining emotional stability, building health behaviors).Conclusions:Medical staff should pay attention to the physical and mental feelings of patients with unruptured intracranial aneurysm during the disease process, assess their needs, support and coping ability, and provide scientific and effective help to promote their physical and mental comfort.