循证视角下敏感指标干预在老年脑卒中患者临床护理中的应用研究

Application of Sensitive Index Intervention from Evidence-based Perspective in Clinical Nursing of Elderly Patients with Cerebralvascular Accident

目的:探讨循证视角下敏感指标干预在老年脑卒中(CVA)患者临床护理中的应用价值。方法:选取成武县人民医院2019年3月至2021年3月收治的老年CVA患者152例作为研究对象,随机分为观察组和对照组,每组76例。对照组行常规护理干预,观察组在对照组基础上行循证视角下敏感指标干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)以及匹兹堡睡眠质量指数量表(PSQI)评估干预前后2组患者心理应激及睡眠质量变化;比较干预期间2组患者压力性损伤发生情况。结果:干预后2组患者SAS、SDS及PSQI评分均较干预前降低,且观察组各评分均低于对照组(P<0.05);干预期间观察组患者压力性损伤发生率为3.95%,低于对照组的27.63%(P<0.05)。结论:循证视角下敏感指标干预可减轻老年CVA患者心理应激水平,改善其睡眠质量,同时降低压力性损伤发生风险。

Objective:To explore the application value of sensitive index intervention from evidence-based perspective in clinical nursing of elderly patients with cerebralvascular accident(CVA).Methods:A total of 152 elderly patients with CVA admitted to the hospital were enrolled between March 2019 and March 2021.They were randomly divided into observation group and control group,76 cases in each group.The control group was given routine nursing,while observation group was given sensitive index intervention from evidence-based perspective on basis of control group.The changes of psychological stress and sleep quality before and after intervention were assessed by Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI).The occurrence of pressure injury during intervention between the two groups was compared.Results:After intervention,SAS,SDS and PSQI scores in both groups were decreased,which were lower in observation group than control group(P<0.05).The incidence of pressure injury during intervention in observation group was lower than that in control group(3.95%vs 27.63%)(P<0.05).Conclusion:Sensitive index intervention from evidence-based perspective can relieve psychological stress,improve sleep quality and reduce the risk of pressure injury in elderly patients with CVA.