循证护理在高压氧治疗一氧化碳中毒迟发性脑病患者中的应用效果

Application effects of evidence-based nursing and hyperbaric oxygen therapy on patients with delayed encephalopathy caused by carbon monoxide poisoning

目的:观察循证护理在高压氧治疗一氧化碳中毒迟发性脑病患者中的应用效果。方法:选取2019年6月至2021年1月该院收治的92例一氧化碳中毒迟发性脑病患者进行前瞻性研究,按随机数字表法将患者分为对照组(46例)和观察组(46例)。两组均采用高压氧治疗,在此基础上对照组给予常规护理,观察组给予循证护理。比较两组治疗依从性、护理前后生命质量[简明健康状况调查表(SF-36)],以及并发症发生率、护理满意度。结果:观察组治疗依从性高于对照组,差异有统计学意义(P<0.05);护理后,两组SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.35%(2/46),低于对照组的17.39%(8/46),差异有统计学意义(P<0.05);观察组护理满意度为95.65%(44/46),高于对照组的82.61%(38/46),差异有统计学意义(P<0.05)。结论:循证护理用于高压氧治疗一氧化碳中毒迟发性脑病患者,可提高治疗依从性、生命质量和护理满意度,以及降低并发症发生率,效果优于常规护理。

Objective:To observe application effects of evidence-based nursing and hyperbaric oxygen therapy on patients with delayed encephalopathy caused by carbon monoxide poisoning.Methods:A prospective study was performed on 92 patients with delayed encephalopathy caused by carbon monoxide poisoning admitted to this hospital from June 2019 to January 2021,and these patients were divided into control group(46cases) and observation group(46 cases) according to the random number table method.Both groups were treated with hyperbaric oxygen therapy.On this basis,the control group was given routine nursing,while the observation group was given evidence-based nursing.The treatment compliance,the quality of life scores before and after the nursing(short form health survey questionnaire [SF-36]),the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:The treatment compliance in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,the SF-36 scores of the two groups were higher than those before the nursing,that of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 4.35%(2/46),which was lower than 17.39%(8/46) in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.65%(44/46),which was higher than 82.61%(38/46)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Evidence-based nursing and hyperbaric oxygen therapy on patients with delayed encephalopathy caused by carbon monoxide poisoning can improve the treatment compliance,the quality of life scores,and the nursing satisfaction,and reduce the incidence of complications.Moreover,it is superior to the routine nursing.