循证护理在高压氧治疗急性CO中毒迟发性脑病中的效果观察

Observation on the Effect of Evidence-based Nursing in Hyperbaric Oxygen Treatment of Acute CO Poisoning and Delayed Encephalopathy

目的分析急性CO中毒迟发性脑病(DEACMP)的疾病特点以及高压氧治疗期间的护理配合要点,评价循证护理干预的预后效果。方法选择我院2019年5月至2020年7月的80例急性CO中毒迟发性脑病患者,均行高压氧治疗。按照1∶1比例法进行分组护理,对照组患者采取常规护理,观察组患者采取循证护理干预,各40例。比较两组急性CO中毒迟发性脑病患者的治疗依从性、不良反应以及生活质量状况,以健康调查简表(The Short-from 36 Item Health Survey Questionnaire,SF-36)评估患者的生活质量。结果观察组治疗依从率明显高于对照组,不良反应发生率明显低于对照组,差异均有统计学意义,P均<0.05。观察组躯体评分、社会评分、情感评分、心理评分均明显高于对照组,差异均有统计学意义,P均<0.05。结论高压氧治疗急性DEACMP期间配合循证护理干预有助于提升患者的依从性、安全性,改善生活质量。

Objective To analyze the characteristics of acute CO(carbon monoxide)poisoning and delayed encephalopathy and the key points of nursing cooperation during hyperbaric oxygen therapy,and to evaluate the prognostic effect of evidence-based nursing intervention.Method We selected 80 patients with acute CO poisoning and delayed encephalopathy in our hospital between May 2019 and July 2020,and they were all treated with hyperbaric oxygen.According to the 1∶1 ratio method for group care,patients in the control group took routine care,and patients in the observation group took evidence-based nursing intervention,each with 40 cases.The treatment compliance,adverse reactions,and quality of life of the two groups of patients with acute CO poisoning and delayed encephalopathy were compared.The Short-from Health 36 Item Survey Questionnaire(SF-36)was used to assess the quality of life of the patients.Results The treatment compliance rate of the observation group was significantly higher than that of the control group,and the incidence of adverse reactions was significantly lower than that of the control group,with statistical significance,all P<0.05.Observation group physical score,social score,emotional score and psychological score were significantly higher than those in the control group,the differences were statistically significant,P<0.05.Conclusion During the treatment of acute CO poisoning and delayed encephalopathy,hyperbaric oxygen combined with evidence-based nursing intervention can help improve patient compliance,safety and quality of life.