综合护理干预路径应用于良性阵发性位置性眩晕手法复位治疗中的临床效果

Clinical effect of comprehensive intervention paths on manual reduction treating in benign paroxysmal positional vertigo

目的探讨综合干预路径在良性阵发性位置性眩晕(BPPV)手法复位中的应用效果。方法选取2015年4月至2015年12月我院的BPPV患者214例为研究对象,按照时间先后顺序将其分为对照组(n=104)和观察组(n=110),两组患者均行手法复位,对照组采用常规护理,观察组采用综合干预路径护理,比较两组患者的疗效及焦虑、抑郁评分。结果观察组患者的治疗总有效率为90.91%,显著高于对照组患者的81.73%(P<0.05);两组患者复位前的SAS、SDS评分比较,差异不显著(P>0.05);两组患者复位后1周、复位后1个月的SAS、SDS评分均明显低于复位前,且复位后1个月的评分低于复位后1周(P<0.05);而观察组在复位后1周、复位后1个月的SAS、SDS评分均显著低于对照组(P<0.05)。结论综合干预路径可提高BPPV患者在手法复位中的依从性,降低医源性损伤,提高疗效,同时能改善患者焦虑、抑郁不良情绪。

Objective To investigate clinical effect of comprehensive intervention paths on manual reduction treating in benign paroxysmal positional vertigo （BPPV）. Methods Two hundred and fourteen cases of BPPV patients from April 2015 to December 2015 in our hospital were divided into control group （n=104） and observation group （n=110） according to the admission order. Patients in the two groups were treated with manual reduction, the control group received routine nursing care, while the observation group adopted comprehensive intervention paths. The therapeutic effects, SAS scores and SDS scores of the two groups were compared. Results The total effective rate of the observation group was 90.91%, which was significantly higher than 81.73% of the control group （P〈0.05）. Before reduction, there were no significant differences of the two groups in SAS scores and SDS scores （P〉0.05）. The SAS scores and SDS scores in the two groups after one week reduction and after one month reduction were lower than those before reduction, and the scores after one month reduction were lower than those after one week reduction （P〈0.05）. The SAS scores and SDS scores in the observation group after one week reduction and after one month reduction were lower than those in the control group （P〈0.05）. Conclusion Comprehensive intervention paths can not only improve the compliance of patients with BPPV in manual reduction, reduce iatrogenic injury and improve the curative effect, but also improve patients＇ anxiety, depression emotions.