循证护理在老年高血压脑出血患者微创规范化治疗中应用的效果评价

The application of evidence-based nursing in standardized nursing of elderly hypertensive intracerebral hemorrhage patients with minimally invasive treatment

目的探讨循证护理在老年高血压脑出血患者微创治疗中的应用效果。方法选取我院2010年5月至2011年5月收治的78例微创治疗的高血压合并脑出血患者为研究对象，将其按照随机数字法分循证组和常规组各39例，常规组给予常规的临床护理，循证组给予循证护理，观察2组护理满意度的差异，及心理状态水平和并发症的发生情况。结果循证组与常规组的护理满意度分别为94．9％和79．5％，差异有统计学意义。护理前2组的SDS评分、SAS评分和生活能力（BI）评分比较差异无统计学意义；护理后2组的SDS评分、SAS评分和BI评分与自身护理前比较差异有统计学意义。护理后循证组的SDS、SAS及BI评分均显著优于常规组，差异有统计学意义。循证组和常规组并发症发生率分别为10．2％与35．9％，差异有统计学意义。结论老年高血压合并脑出血微创治疗的过程中实施循证护理是可行的，能够有效的改善患者的不良情绪，并且提高日常生活能力，从而改善患者的生活质量。而且整个操作简单，针对性强，有效地降低并发症的发生，可进一步在临床中推广应用。

Objective To investigate the effect of applying the evidence-based nursing in elderly hypertensive cerebral hemorrhage patients with minimally invasive therapy. Methods 78 cases of hypertensive cerebral hemorrhage patients with minimally invasive treatment were recruited from May 2010 to May 2011. According to the conventional method of random numbers, they were divided into the evidence- based group and the conventional group with 39 cases in each group. The evidence- based group received evidence-based nursing, while the conventional group received conventional clinical nursing. The nursing effect of the two groups was observed. Results The satisfaction degree of the evidence-based group and conventional nursing group was respectively 94.9% and 79.5 %. There was statistically significant differ- ences. The score of SDS, SAS and BI before treatment between two groups showed no significant difference, while it showed statistically significant differences after treatment between two groups. The complication rate of the evidence-based group and the conventional nursing group was respectively 10.2% and 35.9%. There was statistically significant differences. Conclusions It is feasible to implement evidence-based nursing in the elderly hypertensive cerebral hemorrhage patients with minimally invasive therapy. It can effectively improve the patients＂ negative emotions, enhance daily living and quality of life. It is simple and can effec- tively reduce the incidence of complications. Thus, it is worthy of clinical application.