摘要
探讨循证护理在脑梗死伴发高血压护理中的应用价值。方法 纳入2021年9月~2022年9月80例患有这种疾病的患者,使用随机数字表对他们进行分组,对照组40例常规护理,观察组40例增加循证护理,观察干预效果。结果 干预后,观察组ADL评分(63.344.61)分高于对照组,P<0.05。干预后,观察组的自我护理能力量表中,自我概念(24.282.77)分、自我责任感(25.332.69)分、自我护理技能(45.323.87)分、健康知识水平(38.563.44)分都高于对照组(21.462.86)分、(20.862.47)分、(32.182.54)分、(29.684.31)分,P<0.05。观察组的NIHSS评分(16.643.13)分和并发症发生率(5.00%)低于对照组(13.352.36)分、(20.00%),P<0.05。结论 将循证护理应用于脑梗死伴发高血压患者的护理中,能让他们的病情得到明显的缓解,帮助他们尽快恢复生活自理能力,提高自我护理能力,减少并发症发生。关键词:脑梗死;高血压;循证护理;自我护理能力中图分类号:R473文献标识码:AApplication of evidence-based nursing in nursing care of cerebral infarction accompanied by hypertensionZHONG WenJinan Integrated Traditional Chinese and Western Medicine Hospital, Jinan, Shandong 271100Abstract:Objective: To explore the application value of evidence-based nursing in nursing patients with cerebral infarction accompanied by hypertension. Methods: From September 2021 to September 2022, 80 patients with cerebral infarction accompanied by hypertension were included in the study. They were randomly divided into two groups according to the number table method. The control group had 40 cases of routine nursing, while the observation group had 40 cases of increased evidence-based nursing. The ADL and NIHSS scores, self care ability scale scores, and the incidence of complications were observed in both groups. Results After the intervention, the ADL score (63.34±4.61) in the observation group was higher than that in the control group, with a P<0.05. After the intervention, the self-concept (24.28±2.77) scores, self-responsibility (25.33±2.69), self-care skills (45.32±3.87) and health knowledge level (38.56±3.44) of the observation group were higher than those of the control group (21.46±2.86), (20.86±2.47), (32.18±2.54), (29.68±4.31), P<0.05. The NIHSS score (16.64±3.13) and complication rate (5.00%) in the observation group were lower than those in the control group (13.35±2.36) and (20.00%), P<0.05.Conclusion: Applying evidence-based nursing to the nursing of patients with cerebral infarction accompanied by hypertension can improve their neurological deficits, improve their ability to take care of themselves, improve their ability to self care, and reduce complications.Keywords:cerebral infarction; hypertension; Evidence based nursing; Self care ability脑梗死又称脑卒中,中医上称为中风,这种疾病是多种因素引起的脑部出现缺氧或者缺血而引起的病变,神经功能障碍的症状在这些患者身上的发生频率非常高。脑梗死最为常见的危险因素之一就是高血压,高血压不只是与脑梗死的发病,还有整个发病过程,脑梗死的预后,包括死亡率都是有明显相关性的。研究发现收缩压升高十个毫米汞柱,脑梗死的危险性增加49%;舒张压每升高五毫米汞柱,脑梗死的危险性就是增加46%,说明脑梗死和高血压的关系是非常密切的,高血压是脑梗死非常特别关键的独立危险因素,也是医护人员特别重视的,碰到这样的病人肯定是要积极地控制。为了很好地控制患者的病情,需要对他们开展高质量的护理,为了丰富对此类患者开展临床护理的经验,提高护理质量,本次研究探讨了将循证护理应用于脑梗死伴高血压患者的护理中的应用效果,为控制他们的病情和促进康复提供一定参考,报道如下。1 资料与方法1.1 一般资料纳入2021年9月~2022年9月期间的80例脑梗死伴发高血压患者,患者/家属知情同意入组,采用随机数字表将其分为观察组与对照组患者各40例。观察组男22例、女18例,53~75岁、平均年龄(63.345.58)岁;对照组男21例、女19例,50~75岁、平均年龄(63.055.17)岁。两组患者一般资料对比P>0.05。1.2 方法对照组实施常规护理,开展用药护理、加强疾病监测、开展入院宣教、为患者开展健康教育及尽早进行康复训练等。观察组增加循证护理干预,具体如下。1.2.1 循证问题患者进入医院的那一刻开始,护理人员就开始通过全面的观察来了解他们的病情,要形成对他们的既往过敏情况、家族中是否有类似疾病的人、患者以往的患病情况等相关信息的全面掌握。评估患者在住院期间可能出现的问题。1.2.2 循证支持确定证据的纳入及排除标准:与脑梗死并发高血压患者护理相关的,国内外公开发表的指南、证据总结、专家共识、文献、Meta分析等,要求数据及文献的信息完整,纳入最新版本的已经更新或者修订的证据[1]。排除直接翻译的国外文献、指南或者综述,排除统计学错误或者重复发表的文献,排除与脑梗死伴发高血压护理无关的证据[2]。证据检索:检索脑卒中联合会、WHO、美国指南网、卫生保健中心数据库以及其他涵盖相关信息的专业网站,检索时间为近10年。检索。
