对急性脑梗塞患者实施循证护理的研究

A Study of Evidence-based Nursing on Patients with Acute Cerebral Infraction

目的:探讨一套能有效降低急性脑梗塞(acute cerebral infraction,ACI)患者发病危险因素的护理措施,使患者受损神经功能恢复快,提高生活质量。方法:对入选病例随机分为观察组(156例)和对照组(154例),对照组按常规护理,观察组实施循证护理,内容包括控制饮食、调整血压、血糖、血脂等,护理时间是从入院到出院。结果:观察组患者受损神经功能恢复快。实施循证护理10天后和21天时疗效都比对照组明显(P<0.05),到21天时观察组的显效率(66%)明显高于对照组(51%) (P<0.05)。结论:循证护理是遵循证据的护理,对ACI患者从入院开始对其发病危险因素进行基础评估,并实施循证护理,使患者受损神经功能恢复快,缩短住院日和提高生活质量,深受患者和家属的欢迎。

Objective：An evidence- based nursing （E- BN） procedure, which was able to effectively decrese down some risk factors of acute cerebral infraction （ACI） patients, could bring about a rapid recovery of injuried nervous function and better living qualities. Methods： Cases were randomly divided into E- BN （n = 156） and control （n = 154） group, respectively. Patients of control group were given routine nursing treatment, whereas factors such as blood sugar, blood pressure, lipids and daily diets were carefully adjusted for those patients in the E - BN group. Nursing procedures for beth groups were extended through the periods of hospitalization. Results： Injuried nervous function recovered rapidly in the E -BN group. After 10 days and at the 21st day, the nursing effect in the E - BN group was better than the control group （P 〈 0. 05 ）. A 66% and 51% of effective rate （ P 〈 0. 05 ） was found in the E - BN and control group, respectively after 21 days. Conclusion： The E - BN procedure evaluated some clinical risk factors when patients were. hospitalized. Adjustment of these factors could bring about a fast recovery of injuried nervous function, a short hospital time and better living qualities.