循证护理在老年高血压脑出血患者微创治疗规范化护理中的应用  

Application of evidence-based nursing in regular nursing of aged patients with hypertensive intracerebral hemorrhage receiving micro-invasion treatment

作　　者：房海英[1] 谢莉[2] 孙静[3] 

机构地区：[1]第四军医大学西京医院老年病科,西安710032 [2]第四军医大学西京医院神经外科,西安710032 [3]第四军医大学西京医院护理部,西安710032

出　　处：《中华现代护理杂志》2013年第7期767-770,共4页Chinese Journal of Modern Nursing

基　　金：陕西省科技计划社会发展科技攻关项目（S2011SF1585）

摘　　要：目的探讨循证护理在老年高血压脑出血微创治疗患者规范化护理中的应用效果。方法将经微创治疗的老年高血压脑出血患者148例按随机数字表法随机分为观察组和对照组各74例，对照组采用常规护理，观察组采用循证护理。比较两组患者焦虑自评量表（SAS）、抑郁自评量表（SDS）评分及3个月后患者日常生活能力Banthel指数（BI）和生活满意度指数（SWL）的差异。结果治疗前两组患者SAS、SDS、BI及SWL评分比较，差异均无统计学意义（P〉0．05）；循证护理后观察组患者SAS评分和抑郁评分分别为（42．2±8．4），（43．8±8．8）分，均低于对照组的（48．1±9．5），（49．8±10．6）分，差异均有统计学意义（t分别为4．92，5．15；P〈0．01）；出院3个月后观察组患者BI评分和SWL评分分别为（58．6±3．9），（31．5±4．4）分，均高于对照组的（41．2±3．6），（26．2±4．2）分，差异均有统计学意义（t分别为4．32，3．29；P〈0．01）。结论循证护理在老年高血压脑出血微创治疗患者的护理中发挥重要的作用。Objective To study the effect of evidence-based nursing in regular nursing of aged patients with hypertensive intracerebral hemorrhage receiving micro-invasion treatment. Methods 148 aged patients with hypertensive intracerebral hemorrhage were randomly divided into the observation group and the control group, each with 74 cases. The control group received conventional care while the observation group received evidence-bases nursing. Two groups＇ SAS, SDS, Banthel index （BI） after 3 months and Satisfaction with Life Index （SWL） were compared. Results There was no statistically significant difference of SAS, SDS, BI and SWL between two groups before treatment （P 〉0. 05 ）. After evidence-based treatment, SAS and SDS in the observation group were （42.2 ±8.4） and （43.8±8.8 ）, both were lower than those in the control group [ （48.1±9.5） and （49.8±10. 6） ], and the differences were statistically significant （t = 4.92, 5. 15, respectively; P 〈 0.01）. BI and SWL were （58.6 ±3.9） and （31.5±4.4） in the observation group and （41.2±3.6） and （26.2±4.2 ） in the control group, and the differences were statistically significant （t = 4.32, 3.29, respectively ; P 〈 0.01 ）. Conclusions Evidence-based nursing can play an important role in regular nursing of aged patients with hypertensive intracerebral hemorrhage receiving micro-invasion treatment.

关 键 词：疼痛 生活质量 关节置换术 全程综合护理干预 

分 类 号：R473[医药卫生—护理学]