循证护理在重型脑外伤后盐耗综合征患者的应用研究

Evidence-based care after traumatic brain injury in severe salt wasting syndrome application

目的将循证护理方法应用于重型颅脑外伤后盐耗综合征患者的观察和护理。方法将46例重型脑外伤后盐耗综合征的患者随机分为循证组和常规组，成立由护士长、监护护士、护士组成的循证小组，应用计算机网络检索相关文献，对证据的真实性、可靠性和实用性作出评价后，对循证组患者实行循证护理，两组基础治疗和护理措施相同。观察两组患者的致残率和死亡率，所得结果用χ^2检验。结果循证组通过循证护理的实践，循证组致残率、死亡率明显低于常规组（P〈0．05）。结论实施循证护理不仅提高此类患者的治愈率，而且提高了护士的专业水平。

Objective To used the ethods in evidence-based care after severe brain injury observed in patients with salt wasting syndrome and care. Methods 46 patients with severe salt wasting syndrome after traumatic brain injury were randomly divided into evidence-based group and the conventional group, set up by the matron, care nurses, nurses evidence-based group, application of computer network retrieval literature, the real evidence, reliability and usefulness of evaluation, the patients on the evidence-based practice evidence-based care, treatment and care measures for the two groups the same basis. Were observed in patients with disability and mortality, the results with the χ^2 test. Results Evidence-based group practice through evidence-based care, evidence-based group of disability, mortality was significantly lower than the conventional group （ P 〈 0. 05 ）. Conclusion The implementation of evidence-based care for such patients not only improve the cure rate, but also improve the professional standards of nurses.