脑卒中患者抢救性气管切开的循证护理与疗效观察

Efficacy of evidence-based nursing on traeheostomy in patients with cerebral apoplexy

目的观察循证护理在脑卒中患者行抢救性气管切开术的临床效果，探讨循证护理的临床价值，为抢救脑卒中患者生命提供可靠依据。方法观察组在对照组实施常规护理措施基础上，采取循证护理措施。评价指标包括呼吸道感染发生率、死亡率及住院时间，且进行统计学分析处理。结果观察组实施循证护理措施后，其呼吸道感染发生率、死亡率及平均住院时间分别为38．9％、13．0％及（12．7±2．1）d；对照组实施常规护理措施后其呼吸道感染发生率、死亡率及平均住院时间分别为77．5％、37．5％及（17．9±4．5）d。两组比较，呼吸道感染发生率、死亡率及平均住院时间均具有统计学意义（χ^2=13．860、6．161，t=7．473；P〈0．05），观察组均显著优于对照组。结论对脑卒中行抢救性气管切开术患者实施循证护理措施，能够降低患者呼吸道感染发生率、死亡率及缩短患者住院时间，循证护理措施值得推广应用。

Objective To observe clinical effecof evidence-based nursing on tracheotomy in patientwith cerebral apoplexy, investigate the clinical value of evidence-based nursing, and provide reliable basiforescuing patientwith cerebral apoplexy. MethodControl group underwenroutine nursing measures, and observation group underwenevidence-based nursing on the basiof control group. Observed the incidence of respiratory tracinfection, mortality and the length of hospital stay of two groups, which were processed by statistical analysis. ResultAftenursing, the incidence of respiratory tracinfection, mortality and the average length of hospital stay in observation group were 38.9%, 13.0%, and （12.7±2.1） d, those in control group were 77.5%, 37.5%, and （17.9±4.5） d, with statistically significandifferencebetween two group（χ^2=13.860, 6.161, t=7.473; P〈0.05）. Conclusion Ican reduce the incidence of respiratory tracinfection, mortality, shorten the length of hospital stay to take evidence- based nursing in tracheotomy patientwith cerebral apoplexy. Evidence-based nursing should be widely applied.