Effect of shared decision-making combined with patient navigation nursing in patients undergoing endovascular embolization for cerebral vascular malformation

Objective To explore the impact of the shared decision-making combined with patient navigation nursing model on self-care skills and coping styles in patients undergoing endovascular embolization for cerebral vascular malformation.

Methods A total of 80 patients who underwent endovascular embolization for cerebral vascular malformation were selected and divided into control group (40 cases) and intervention group (40 cases) according to the random number table method. The control group (n=40) received routine intervention measures, while the intervention group (n=40) received shared decision-making combined with patient navigation nursing model intervention in addition to the control group's measures. Self-care skills (using the Stroke Self-Management Behavior Scale), coping styles using the Medical Coping Modes Questionnaire (MCMQ), psychological status using the Depression Anxiety Stress Scale (DASS-21), and rehabilitation outcomes using the National Institutes of Health Stroke Scale (NIHSS) and Barthel Index (BI) were compared between the two groups before and after the intervention.

Results After the intervention, the scores of each dimension and the total score on the Self-management Behavior Scale increased in both groups, with a greater increase in the intervention group (P < 0.05). The avoidance and resignation scores in the MCMQ decreased, while the confrontation score increased in both groups, with a greater increase or decrease in the intervention group (P < 0.05). In the DASS-21, the scores of the depression, anxiety, and stress dimensions decreased in both groups, with a greater decrease in the intervention group, and the difference was statistically significant (P < 0.05). The NHISS scores decreased, and the BI scores increased in both groups, with a greater increase or decrease in the intervention group (P < 0.05).

Conclusion The shared decision-making combined with patient navigation nursing model can enhance the self-care ability of patients undergoing endovascular embolization for cerebral vascular malformation, improve their disease coping styles, and achieve dual rehabilitation effects on both physical and psychological aspects.