基于健康干预的循证支持在自发性蛛网膜下腔出血患者中的应用研究

Application Study of Evidence-Based Support Based on Health Intervention in Patients with Spontaneous Subarachnoid Hemorrhage

目的 探讨基于健康干预的循证支持在自发性蛛网膜下腔出血患者中的应用效果。方法 采用便利抽样法选择2020年1月至2022年3月间河南科技大学第一附属医院神经内科75例自发性蛛网膜下腔出血患者为研究对象,按照随机数字表法分为对照组(N=37)和研究组(N=38),对照组37例接受临床常规护理,研究组38例接受基于健康干预的循证支持。比较两组患者干预前后的神经功能缺损程度评分(NDS)、简化Fugl-Meyel运动功能评估量表(FMA)、功能综合评定量表(FCA),调查并统计两组并发症发生率及预后疗效,简明健康调查简表(SF-36)的评分变化。结果 干预前,两组NDS、FMA、FCA相比,差异无统计学意义(P> 0.05);干预后,研究组NDS、FMA、FCA得分比对照组更优,差异有统计学意义(P <0.05),两组并发症发生率对比研究组更低,差异有统计学意义(P <0.05);研究组预后恢复良好人数占比高于对照组,中度残疾、重度残疾、植物生存、死亡人数均低于对照组,差异有统计学意义(P <0.05),干预前,两组总体健康、生理机能、精神健康及社会功能方面的SF-36评分相比,差异无统计学意义(P> 0.05);干预后,研究组各维度SF-36评分均高于对照组,差异有统计学意义(P <0.05)。结论 基于健康干预的循证支持的临床应用效果显著,将其应用于自发性蛛网膜下腔出血患者中,可促进神经功能恢复,减少并发症的发生,为改善患者的预后,促进其自理能力的提高奠定良好的基础,提高远期生活质量,临床护理效果显著。

Objective To explore the application effect of evidence-based support based on health intervention in patients with spontaneous subarachnoid hemorrhage.Methods A total of 75 patients with spontaneous subarachnoid hemorrhage(SAH)in the Department of Neurology of the First Affiliated Hospital of Henan University of Science and Technology from January 2020 to March 2022 were selected by convenience sampling method.According to the random number table method,they were divided into a control group(N=37)and a study group(N=38).37 patients in the control group received routine clinical nursing.The study group of 38 patients received evidence-based support based on health interventions.neurological deficit score(NDS),simplified Fugl-Meyer assessment scale(FMA),and functional comprehensive assessment(FCA)were compared between the two groups before and after the intervention.The incidence of complications and prognostic efficacy of the two groups were investigated and statistically analyzed,as well as the score changes of the MOS item short from health survey(SF-36).Results Before the intervention,there was no significant difference in NDS,FMA,and FCA between the two groups(P>0.05).After the intervention,the scores of NDS,FMA,and FCA in the study group were better than those in the control group,the difference was statistically significant(P<0.05),and the incidence of complications in the two groups was lower than that in the study group,the difference was statistically significant(P<0.05).The number of patients with good prognoses in the study group was higher than that in the control group,and the number of patients with moderate disability,severe disability,plant survival,and death was lower than that in the control group,with statistical significance(P<0.05).Before the intervention,there was no statistical significance in SF-36 scores of overall health,physiological function,mental health,and social function between the two groups(P>0.05).After the intervention,SF-36 scores in all dimensions of the study group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based support based on health intervention has a significant clinical application effect.Its application in patients with spontaneous subarachnoid hemorrhage can promote the recovery of neurological function,reduce the occurrence of complications,lay a good foundation for improving the prognosis of patients,promote the improvement of their self-care ability,improve the long-term quality of life,and have a significant clinical nursing effect.