循证护理在预防颅内动脉瘤破裂再出血中的应用  

Applying evidence-based nursing in the prevention of recurrent hemorrhage for the ruputure of intracranial aneurysm

作　　者：韩凤伟[1] 杨玉香 呼铁民[1] 程艳芬[1] 王维兴[1] 刘岩[1] 

机构地区：[1]承德医学院附属医院神经外科,河北承德067000 [2]河北承德市医学情报站,河北承德067000

出　　处：《中国医药导报》2011年第6期84-85,共2页China Medical Herald

基　　金：河北省科技支撑计划项目(编号:201021038)

摘　　要：目的:通过运用循证护理采用最佳的预防方法,降低颅内动脉瘤再出血的发生率。方法:从确立循证问题,寻找证据、系统评价、科学实施、评估结果等5个方面对颅内动脉瘤再出血的预防实施循证护理,并把患者分为观察组和对照组进行对照试验,选取最佳证据应用于临床。结果:观察组再出血发生率为6.12%,对照组再出血发生率为24.49%,观察组颅内动脉瘤再出血发生率比对照组显著降低(P<0.05)。结论:对颅内动脉瘤患者应用循证护理进行综合干预,是降低再出血发生率的有效方法。Objective：To decrease the rate of recurrent hemorrhage for the ruputure of intracranial aneurysm,we adopted evidence-based nursing for the prevention.Methods：All the patients were divided into observing group and control group,and then evidence-based nursing were adopted according to the 5 aspect,such as the problem of evidence-basis,found the conlude,sysmetic evaluation,scientific measures and result.Results：The rate of recurrent hemorrhage in observing group and control group was 6.12% and 24.49%,respectively.There＇s significant difference between them（P0.05）.Conclusions：It′s effective to decrease the rate of recurrent hemorrhage for the ruputure of intracranial aneurysm by adopting evidence-based nursing.

关 键 词：循证护理 预防 颅内动脉瘤 再出血 

分 类 号：R739.41[医药卫生—肿瘤]