基于循证理论的预见性护理在预防脑动脉瘤患者术后并发症中的应用价值分析

The Application Value of Foresight Nursing Based on the Evidence-based Theory for the Prevention of Postoperative Complications in Patients with Cerebral Aneurysms

目的探讨基于循证理论的预见性护理在预防脑动脉瘤患者术后并发症中的应用价值。方法选取2015年1月—2017年1月本院神经外科住院部收治的脑动脉瘤患者114例,采用随机数字表法将其分为两组,每组各57例。对照组采用常规护理,观察组在对照组的基础上采用基于循证理论的预见性护理。比较两组术后并发症的发生情况、护理满意度、MOS健康状况调查问卷(SF-36)评分的差异。结果观察组术后并发症发生率明显低于对照组(P<0.05),护理满意度、SF-36各维度[生理功能(PF)、生理职能(RF)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)]评分均明显高于对照组(P<0.05)。结论基于循证理论的预见性护理在预防脑动脉瘤患者术后并发症中的应用价值显著,有助于提高护理质量与患者的生活质量。

Objective To study the application value of foresight nursing based on the evidence-based theory for the prevention of postoperative complications in patients with cerebral aneurysms. Methods A total of 114 cases of patients with cerebral aneurysm from the neurosurgery inpatient department of our hospital between January 2015 and January 2017 were selected and divided into two groups by using the random number table method, 57 cases in each group. The control group was given conventional nursing, while the observation group was given evidence-based foresight nursing on the basis of control group. The incidence of postoperative complications, nursing satisfaction, changes of the Medical Outcomes Study 36-Item Short-Form Health Survey( MOS SF-36) score were compared between the two groups. Results The incidence of postoperative complications in observation group was significantly lower than that of the control group (P<0.05). The nursing satisfaction rate, scores of the physiological function (PF), role-physical (RF), body pain (BP), general health (GH), vitality (VT), social function (SF), role-emotion (RE) and mental health (MH) of the observation group were significantly higher than those of the control group (P<0.05). Conclusion Foresight nursing based on the evidence-based theory had significant application value for the prevention of postoperative complications in patients with cerebral aneurysm. It could improve the nursing quality and quality of life.