以健康干预为基础的循证支持联合激励护理在蛛网膜下腔出血患者术后管理中的应用分析

Application Analysis of Evidence-Based Support Combined with Incentive Nursing Based on Health Intervention in Postoperative Management of Patients with Subarachnoid Hemorrhage

目的探讨以健康干预为基础的循证支持联合激励护理在蛛网膜下腔出血患者术后管理中的应用效果。方法选择2021年1月—2023年1月阳信县人民医院收治的100例蛛网膜下腔出血患者为研究对象,按随机数字表法将其分为对照组和观察组,各50例。对照组采用常规护理,观察组采用以健康干预为基础的循证支持联合激励护理,两组均护理1个月。比较两组的认知功能、负性情绪、生活质量。结果护理后,观察组简易认知状态评价量表中各个维度评分、世界卫生组织生活质量测定量表评分均高于对照组,组间差异有统计学意义(P<0.05);观察组抑郁自评量表、焦虑自评量表评分分别为(42.60±1.52)分、(40.20±1.25)分,均低于对照组的(47.24±1.89)分、(45.22±1.47)分,组间差异有统计学意义(P<0.05)。结论以健康干预为基础的循证支持联合激励护理能够减轻蛛网膜下腔出血患者负性情绪,改善认知功能,提高生活质量。

Objective To explore the application effect of evidence-based support combined with incentive nursing based on health intervention in the postoperative management of patients with subarachnoid hemorrhage.Methods A total of 100 patients with subarachnoid hemorrhage admitted to People's Hospital of Yangxin County from January 2021 to January 2023 were selected as the research objects,and were divided into a control group and an observation group according to the random number table method,with 50 cases in each group.Patients in the control group received routine nursing,while patients in the observation group received evidence-based support combined with incentive nursing based on health intervention for 1 month.The cognitive function,negative emotion and quality of life were compared between the two groups.Results After nursing,the scores of each dimension of Mini-mental State Examination scale and World Health Organization Quality of Life Scale-Brief Form Questionnaire scale in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P<0.05);and the scores of Self-rating Depression Scale and Self-rating Anxiety Scale scores of the observation group were(42.60±1.52)points and(40.20±1.25)points,which were lower than(47.24±1.89)points and(45.22±1.47)points in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Evidence-based support combined with incentive nursing based on health intervention can reduce the negative emotions of patients with subarachnoid hemorrhage,improve their cognitive function and quality of life.