中医循证护理在椎-基底动脉供血不足性眩晕患者中的应用

TCM Evidence-based Nursing Applied to the Patients with Vertebrobasilar Insufficiency Vertigo

目的:探讨中医循证护理在椎-基底动脉供血不足性眩晕患者中的应用及其对负面情绪及遵医行为的影响。方法:以2016年5月至2017年6月就诊的40例患者为对照组,以2018年5月至2019年6月就诊的40例患者为观察组。对照组给予口头健康教育管理及常规神经内科护理。观察组在对照组护理基础上实施中医循证护理干预。比较两组干预前后眩晕发作情况、汉密尔顿抑郁自评量表(hamilton depression scale,HAMD)、汉密尔顿焦虑自评量表(hamilton anxiety scale,HAMA)评分、遵医行为情况和护理满意度评分。结果:眩晕发作次数和持续时间干预后两组均低于干预前(P<0.05),且干预后观察组均低于对照组(P<0.05)。HAMD、HAMA评分干预后两组均低于干预前,且干预后观察组均低于对照组(P<0.05)。眩晕缓解、健康教育、护理操作和治疗管理的护理满意度得分观察组高于对照组(P<0.05)。观察组患者服药、饮食控制、定期复查等方面的遵医行为均优于对照组(P<0.05)。结论:中医循证护理干预有利于降低椎-基底动脉供血不足性眩晕患者眩晕发作频率和持续时间,提高患者治疗依从性,改善不良情绪,护理满意度较高。

Objective:To discuss the application of TCM evidence-based nursing to the patients suffering vertebrobasilar insufficiency vertigo(VIV)and its effects on negative emotions and compliance behavior.Methods:Forty patients visited from May,2016 to June,2017 were taken as the control group,and another 40 patients from May,2018 to June,2019 as the observation group.The control group accepted basic nursing of neurology department and including oral health education management.The observation group adopted TCM evidence-based nursing based on basic nursing of neurology department.To compare the attack times of vertigo,HAMD,HAMA scores,compliance behanvior and nursing satisfaction degree scores before and after the intervention between both groups.Results:Attack times and duration of vertigo in both groups after the intervention were lower than these before the intervention(P<0.05),after the intervention,the observation group was lower than the control group(P<0.05).HAMD and HAMA scores after the intervention in both groups were lower than these before the intervention,and after the intervention,the observation group was lower than the control group(P<0.05).The observation group was higher than the control group in the scores of nursing satisfaction degrees including relieving vertigo,health education,nursing operation and therapeutic management(P<0.05).The observation group was better than the control group in compliance behavior including taking medicine,dietary control,regular review and others(P<0.05).Conclusion:TCM evidence-based nursing could help reduce the frequency and duration of vertigo in the patients suffering VIV,lift therapeutic compliance of the patients,and improve negative emotions with higher nursing satisfaction degrees.