循证护理在高血压脑出血患者中的应用

Application of evidence-based nursing for patients with hypertensive cerebral hemorrhage

目的探讨循证护理在高血压脑出血患者中的应用效果及对预后的影响,为护理干预模式提供依据。方法将天津市第四中心医院收治的120例脑出血患者随机分为观察组和对照组,每组各60例。两组均采取相同用药方案,对照组予常规护理,观察组予以循证护理。比较两组患者的预后,并对其疗效进行统计学分析。结果本研究共调查120名高血压脑出血患者,其中男67例,女53例,年龄为63.26±8.6岁。经治疗后,观察组人群具有自理能力为86.7%,高于对照组人群的43.3%;而后遗症的发生率为16.6%,低于对照组人群46.7%。观察组人群的并发症发生率低于对照组,差别有统计学意义(χ2=35.045,P<0.01);观察组人群的自理能力高于对照组人群,差别有统计学意义(χ2=26.653,P<0.01);而并发症的发生率观察组人群低于对照组人群,差别有统计学意义(χ2=12.406,P<0.01)。结论循证护理应用于高血压脑出血患者中,有助于提高其治疗效果,可以帮助患者恢复意识,降低病死率,提高自理能力。

[Objective]To study the application effect and prognostic influence of evidence-based nursing for patients with hypertensive cerebral hemorrhage,provide the basis for nursing intervention model.[Methods]120 patients with hypertensive cerebral hemorrhage in Fourth Central Hospital of Tianjin were randomly divided into the observation group and the control group,60 cases in each group.Two groups were treated with same medication scheme,the control group was given routine nursing,and the observation group was given evidence-based nursing.The prognosis between two groups was compared,and the efficacy was analyzed statistically.[Results]Among 120 patients with hypertensive cerebral hemorrhage,there were 67 male cases and 53 female cases,and the average age was 63.26± 8.6 year-old.After treatment,86.7% of patients in the observation group had self-care ability,which was higher than that in the control group（43.3%）.The incidence rate of sequela in the observation group（16.6%） was lower than that in the control group（46.7%）.The incidence rate of complications in the observation group was significantly lower than that in the control group（χ2=35.045,P0.01）.The self-care ability of the observation group was significantly higher than that of the control group（χ2=26.653,P=0.000）.The incidence rate of sequela in the observation group was significantly lower than that in the control group（χ2=12.406,P0.01）.[Conclusion]The evidence-based nursing is helpful to increase the efficacy in patients with hypertensive cerebral hemorrhage,and improve consciousness recovery,reduce the mortality,and enhance self-care ability.