分层体温管理联合循证护理对流行性出血热患者疗效、焦虑抑郁状态和住院时间的影响

Effects of stratified body temperature management combined with evidence-based nursing on the efficacy,anxiety and depression state and length of hospital stay in patients with epidemic hemorrhagic fever

目的研究分层体温管理联合循证护理对流行性出血热患者疗效、焦虑抑郁状态和住院时间的影响。方法84例流行性出血热患者随机分为对照组和研究组,每组42例。对照组给予常规循证护理干预,研究组给予常规循证护理+分层体温管理。干预后1周,评价2组患者临床疗效,并比较2组临床症状改善时间、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、住院时间及护理满意度的差异。结果研究组治疗总有效率较对照组明显升高(P<0.05)。与对照组比较,研究组持续发热时间、尿蛋白转阴时间、血小板恢复正常时间、多尿恢复时间及住院时间均明显缩短(P<0.01)。护理后1周,2组患者SAS和SDS评分较护理前均明显减少(P<0.01);与对照组比较,研究组护理后SAS和SDS评分均明显减少(P<0.01)。研究组护理质量满意度较对照组显著升高(P<0.05)。结论采用常规循证护理+分层体温管理不仅可有效减轻流行性出血热患者临床症状及体征,提升治疗效果,而且可有效减轻焦虑抑郁状态,同时可明显缩短患者住院时间,减轻医疗费用,有助于提升护理质量满意度,因此具有良好的临床应用前景。

Objective To investigate the effects of stratified body temperature management combined with evidence-based nursing on the efficacy,anxiety and depression state and length of hospital stay in patients with epidemic hemorrhagic fever.Methods A total 84 patients with epidemic hemorrhagic fever who were treated in our hospital from September 2018 to March 2019 were enrolled in the study,who were randomly divided into control group and research group,with 42 cases in each group.The patients in control group were given routine evidence-based nursing intervention,however,the patients in research group were given routine evidence-based nursing combined with stratified body temperature management.After 1-week intervention,the clinical efficacy,and the clinical symptoms improvement time,self-rating anxiety scale(SAS),self-rating depression scale(SDS),and the length of hospitalization stay as well as nursing satisfaction degree were observed and compared between the two groups.Results The total effective rate in research group was significantly higher than that in control group(92.86%vs 71.43%,P<0.05).As compared with those in control group,the duration of persistent fever,urinary protein negative conversion time,platelet recovery time,polyuria recovery time and hospitalization time in research group were significantly shortened(P<0.01).After 1-wwek nursing intervention,the scores of SAS and SDS in both groups were significantly decreased,moreover,which in research group were significantly lower than those in control group(P<0.01).In addition the satisfaction rate of nursing quality in research group was 95.24%,which was significantly higher than that(76.09%)in control group(P<0.05).Conclusion The conventional evidence-based nursing combined with stratified body temperature management can not only effectively alleviate the clinical symptoms and signs of patients with epidemic hemorrhagic fever,improve the therapeutic effect,but also effectively alleviate the anxiety and depression of patients,significantly shorten the hospitalization time,reduce medical costs,which is helpful to improve the satisfaction degree of nursing quality,thus,which has better application prospects.