循证护理在外伤性截瘫患者疗养康复期的应用

Application of evidence-based nursing to rehabilitation of sufferers with traumatic paraplegia

目的探讨循证护理在外伤性截瘫患者疗养康复期的应用效果评价。方法 21例外伤性截瘫患者按照所在病区分为常规护理组(C组)和循证护理组(EBN组)。C组实施常规护理,EBN组在此基础上,实施循证护理方案。观察比较两组患者入院时、1个月和3个月护理前后日常生活能力BI指数和功能独立性FIM评分。结果两组患者入院时的BI指数、FIM评分差异无统计学意义(P>0.05),护理实施1个月和3个月后,两组的BI指数、FIM评分分别比较差异有统计学意义(P<0.05)。结论循证护理能够显著提高外伤性截瘫患者疗养康复期的的日常生活能力和独立生活能力。

Objective To probe into the application effect evaluation of evidence-based nursing in rehabilitation of sufferers with traumatic paraplegia.Methods 21 sufferers with traumatic paraplegia were divided into conventional group（group C） and evidence-based nursing group （EBN group）.Group C were give the conventional nursing care, while EBN group were given evidence-based nursing on this basis.The daily living care BI index and functional independence FIM score were observed and compared among the two groups during the periods of admission, after a month, and after 3 months of nursing. Results The differences of BI index and FIM score of the two groups at admission were not of statistical significance（P〉 0.05）, while the differences of BI index and FIM score of the two groups after one-month and three-month nursing were of statistical significance（P〈0.05）.Conclusion Evidence-based nursing can significantly improve the activities of daily living and independent living skills of sufferers with traumatic paraplegia during rehabilitation.