Background. Intracranial atherosclerotic stenosis (ICAS) causes a series of neurological symptoms, such as vertigo, impaired consciousness, limb weakness, ataxia, dysphagia, ocular motility disorders, and visual impairment. With the improvement of people’s living standards, there are higher requirements for nursing care. Nursing, as an indispensable part of medical care, is closely related to achieving the goal of patient’s safety and the overall quality of nurses, quality of care, and nursing management methods. Objective. To explore the effect of risk-centered diversified safety management in patients undergoing aortic stenting. Methods. Eighty patients with cerebral infarction were selected and treated with percutaneous transluminal angioplasty and stent implantation (PTAS). Then they were divided into a control group (40 cases) with routine monitoring and an experimental group (40 cases) with risk-focused intervention of a diversified safety management model according to the mode of care. Patient satisfaction and blood index test results were compared after the intervention. Results. Patients in the experimental group had 6 falls, 3 bed falls, 3 phlebitis, 4 tube slips, and 10 deep vein thrombosis, all significantly fewer than those in the control group. Thirty-eight patients in the experimental group expressed satisfaction with safe management, which was substantially better than the control group (). The levels of tissue plasminogen activator (tPA), plasminogen activator inhibitor-1 (PA1-1), and von Willebrand factor (vWF) in the experimental group were (13.5  1.3) ng/mL, (60.1  9.9) ng/mL, and (2.1  0.2), respectively, which were substantially lower than those in the control group ((14.6  2.4) ng/mL, (64.2  10.7) ng/mL, and (2.8  0.3)), respectively (). Conclusion. The risk-centered diversified safety management model can effectively reduce the probability of adverse events in patients, improve patient satisfaction with nursing services, and promote faster postoperative recovery, which has clinical application value.

中文翻译：

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以风险为中心的多元化安全管理模式对大动脉支架植入患者的影响


背景。颅内动脉粥样硬化性狭窄（ICAS）会引起一系列神经症状，如眩晕、意识障碍、肢体无力、共济失调、吞咽困难、眼球运动障碍、视力障碍等。随着人们生活水平的提高，对护理工作提出了更高的要求。护理作为医疗护理中不可缺少的一部分，与患者安全目标的实现和护士的整体素质、护理质量、护理管理方法密切相关。客观的。探讨以风险为中心的多元化安全管理对主动脉支架置入术患者的效果。方法。选择80例脑梗死患者进行经皮腔内血管成形术和支架植入术（PTAS）治疗。根据护理方式分为常规监测的对照组（40例）和采用多元化安全管理模式风险聚焦干预的实验组（40例）。干预后比较患者满意度和血液指数检测结果。结果。实验组患者跌倒6例、跌床3例、静脉炎3例、管滑脱4例、深静脉血栓10例，均明显少于对照组。实验组 38 名患者对安全管理表示满意，明显优于对照组（ ）。实验组组织纤溶酶原激活剂（tPA）、纤溶酶原激活剂抑制剂-1（PA1-1）、血管性血友病因子（vWF）水平分别为（13.5±1.3）ng/mL、（60.1±9.9）ng/mL、（60.1±9.9）ng/mL。分别为（2.1±0.2），显着低于对照组（（14.6±2.4）ng/mL、（64.2±10.7）ng/mL和（2.8±0.3））。 ）。结论。以风险为中心的多元化安全管理模式可以有效降低患者发生不良事件的概率，提高患者对护理服务的满意度，促进术后更快的康复，具有临床应用价值。