高血压脑出血患者便秘预防中循证护理的应用价值分析

Evidence-based nursing care in prevention of constipation in patients with hypertensive cerebral hemorrhage

目的探讨高血压脑出血患者便秘预防中循证护理的应用价值，以期为高血压脑出血患者临床护理提供参考依据。方法选取2013年6月至2016年6月本院80例住院高血压脑出血患者为研究对象，依循随机平均分配原则将80例住院高血压脑出血患者分为对照组和循证组，对照组给予一般常规护理，循证组采用循证护理方法。观察比较两组患者经护理干预后的便秘发生率及护理满意度。结果循证组经护理干预后其便秘发生率为2．5％，同对照组20．0％相比较，差异具有统计学意义（P〈0．05）；循证组护理总满意度为97．5％，显著优于对照组82．5％，两组护理满意度比较，差异有统计学意义（P〈0．05）。结论高血压脑出血患者便秘预防中循证护理的应用，可降低便秘发生率，减轻患者痛苦，提升护理满意度，值得临床推广。

Objective To detect the application value of evidence-based nursing care in the prevention of constipation in patients with hypertensive intracerebral hemorrhage and to provide some references for the clinical nursing care of patients with hypertensive intracerebral hemorrhage. Methods 80 patients with hypertensive intracerebral hemorrhage treated at our hospital from June, 2013 to June, 2016 were selected as study objects and randomly divided into a control group and an evidence-based group, 40 for each group. The control group was routinely cared and the evidence-based group was given evidence-based nursing care. The incidence of constipation and nursing satisfaction were compared between the two groups after corresponding nursing intervention. Results The incidence of constipation was 2.5% in the evidence-based group while 20.0% in the control group after nursing intervention, with a statistical difference （P 〈0.05）. The overall satisfaction rate was 97.5% in the evidence-based group and 82.5% in the control group, with a statistical difference （P〈0.05）. Conclusions The applicaiton of evidence-based nursing care in the prevention of constipation in patients with hypertensive cerebral hemorrhage can reduce the incidence of constipation, relieve the patients suffering, and increase the care satisfaction, so it is worth being clinically generalized.