循证护理干预对高血压脑出血与患者心理状态恢复及并发症的影响

Effect of Evidence-based Nursing Intervention on Hypertensive Cerebral Hemorrhage and Recovery of Patients' Psychological State and Complications

目的探究与分析循证护理干预对高血压脑出血与患者心理状态恢复及并发症的影响。方法选取我院自2015年5月~2017年5月收治的80例高血压脑出血患者,全部患者均接受了微创颅内血肿清除术治疗,采取随机数字表法分为对照组与观察组,每组40例。对照组给予常规护理,观察组在对照组基础上给予循证护理干预,对比两组患者心理状态情况及并发症发生率。结果对照组护理后SAS及SDS评分分别为(52.76±5.51)分、(53.40±5.35)分,观察组护理后SAS及SDS评分分别为(45.87±5.20)分、(46.49±5.34)分,两组患者护理后与护理前相比,SAS、SDS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率为7.50%,低于对照组的20.00%,差异具有统计学意义(P<0.05)。结论将循证护理干预应用于高血压脑出血患者中能够明显缓解患者的焦虑抑郁症状,促进改善患者的生活质量,降低并发症发生率,提升临床护理的安全性。

Objective To explore and analyze the effects of evidence-based nursing intervention on hypertensive cerebral hemorrhage and psychological recovery and complications.Methods 80 patients with hypertensive intracerebral hemorrhage admitted to our hospital from May 2015 to May 2017 were enrolled.All patients underwent minimally invasive intracranial hematoma evacuation.They were randomly divided into control group and observation group.40 cases per group.The control group received routine nursing care,and the observation group received evidence-based nursing intervention on the basis of the control group.The psychological status and complication rate of the two groups were compared.Results The SAS and SDS scores of the control group were（52.76±5.51）points and（53.40 ±5.35）points respectively.The SAS and SDS scores of the observation group were（45.87 ±5.20）points and（46.49 ±5.34）points respectively.The scores of SAS and SDS of the two groups were lower than those before nursing,and the observation group was lower than that of the control group,the difference was statistically significant（P 〈0.05）.The incidence of complications in the observation group was 7.50%,lower than that in the control group 20.00%,and the difference was statistically significant（ P〈0.05）.Conclusion The application of evidence-based nursing intervention to patients with hypertensive cerebral hemorrhage can obviously relieve the symptoms of anxiety and depression,improve the quality of life of the patients,reduce the incidence of complications and improve the safety of clinical nursing.