循证护理在动脉瘤破裂后脑血管痉挛患者中的应用及效果

Application effects on the cerebral vasospasm patients after aneurysm rupture by the evidence-based nursing

目的探究并分析循证护理在动脉瘤破裂后脑血管痉挛患者中的应用效果观察。方法选取沈阳军区总医院神经外科2010年1月～2012年12月收治的50例动脉瘤破裂后脑血管痉挛患者为研究对象，循证护理开展前（2010年1月～2011年12月）抽取的患者为常规护理组，循证护理开展后（2012年1月-12月）抽取的患者为循证护理组，常规护理组患者仅给予动脉瘤常规护理措施．而循证护理组患者则给予循证护理模式指导下的护理措施，比较两组患者住院天数、动脉瘤知识掌握程度、焦虑抑郁情绪和患者护理满意度：结果循证护理组患者焦虑标准分为（41．17±3．26）分，抑郁标准分为（41．25±3．42）分，均明显少于常规护理组（P〈0．05），而循证护理组患者护理满意度（100．00％）均明显高于常规护理组的96．00％（P〈0．05）。结论循证护理措施能够明显减少患者住院时间，加强患者对动脉瘤知识的掌握程度，减少患者负性情绪的出现和提高患者护理满意度。

Objective To investigate the application effects on the cerebral vasospasm patients after aneurysm rupture by the evidence-based nursing. Methods Fifty cerebral vasospasm patients after aneurysm rupture who were treated in the neuro- surgery department in Shenyang Military Region General Hospital from January 2010 to December 2012 were chosen as the research objects. The routine nursing group patients were chosen before carrying out evidence-based nursing （from January 2010 to December 2011）, evidence-based nursing group patients were chosen after carrying out evidence-based nursing （from January to December in 2012）. Patients in the conventional care group were given routine nursing measures, patients in the evidence-based nursing group were ±ven nursing measures under the guidance of the the evidence-based nursing. The hos- pitalization days, knowledge level of aneurysm, the anxiety and depression, and patient satisfaction were evaluated. Results The scores of anxiety in the evidence-based nursing group was （41.17±3.26） scores, and the scores of depression was （41.25± 3.42） scores, the scores of anxiety and depression in the evidence-based nursing group were lower than that in the conven- tional care group （P 〈 0.05）, the patient satisfaction was 100.00% in the evidence-based nursing group, it was higher than that in the conventional care group of 96.00% （P 〈 0.05）. Conclusion The nursing intervention measures under the guide of the the evidence-based nursing can obviously reduce the hospitalization days and he degree of anxiety and depression in the cerebral vasospasm patients after aneurysm rupture, it also improve the patient satisfaction.