循证护理在动脉瘤性蛛网膜下腔出血后脑积水患者中的应用

Application of the evidence - based nursing to patients with hydrocephalus due to aneurysmal subarachnoid hemorrhage

目的:探讨动脉瘤性蛛网膜下腔出血(SAH)术后脑积水的循证护理方法。方法:将84例动脉瘤性SAH术后发生脑积水的患者随机分为观察组49例和对照组,观察者采用循证护理方法,对照组采用传统护理方法;比较两组患者并发症发生情况、护理措施有效率及护理满意度。结果:观察组在护理措施有效率、护理满意度及并发症发生率方面均优于对照组(P<0.05)。结论:循证护理可有效改善动脉瘤性SAH术后脑积水患者的预后,值得推广应用。

Objective：To explore the evidence -based nursing method in the treatment of patients with postoperative hydrocephalus due to aneurysmal subarachnoid hemorrhage. Methods：84 patients with postoperative hydrocephalus due to aneurysmal subarachnoid hemor- rhage were randomly divided into the observation group （ n = 49） and the control group （ n = 35 ）. The evidence - based nursing method was implemented in the observation group and conventional nursing method was used in the control group. The incidence of complications, the effective rate of nursing measures and the degree of patient satisfaction with nursing care were compared between the two groups. Re- suits：The effective rate of nursing measures, the degree of patient satisfaction with nursing care and the incidence of complications were better and less in the observation group than the control group （ P 〈 0.05 }. Conclusion： The evidence - based nursing care can effectively improve the prognosis of patients with postoperative hydrocephalus due to aneurysmal subarachnoid hemorrhage.