循证护理对血管性痴呆预后及家庭亲密度影响的研究

Application investigate of Evidence-based nursing method on the patients with vascular dementia and family intimacy

目的:研究循证护理对血管性痴呆患者的预后及家庭的影响。方法:选择2007年-2010年我科血管性痴呆患者79例,随机分为两组,研究组采用循证护理法,对照组采用常规护理法。并通过症状自评量表(SCL-90)和家庭亲密度和适应性量表(FACESⅡ-CV)进行预后及家庭成员心理影响的效果评定。结果:入院10周后各因子项得分及症状改善情况家庭成员的亲密度研究组明显优于对照组,对照组没有明显变化。结论:循证护理对在痴呆患者的康复护理疗效上具有明显的优势,能明显促进痴呆患者生活自理能力以及家庭成员之间亲密度的改善,值得在护理领域推广与应用。

Objective：To investigate the evidence-based nursing method in the prognosis of vascular dementia and the influence of family aspect.Methods：Seventy-nine patients from 2007 to 2010 with vascular dementia were randomly divided into 2 groups,the experiment group accepting evidence-based nursing method,the control group accepting normal method.The effect of prognosis and family members psychological impact were evaluated with SCL-90 and FACESⅡ-CV.Results： The mark and symptoms in experiment group were improved after 8 months in hospital,and they have significantly differences（P0.01）.Conclusions： The clinical effect of evidence-based nursing method in vascular dementia has significant predominance,it can improve self-care ability and family intimacy.It is worth popularizing.