循证护理在高血压性脑出血术后合并意识障碍中的应用  被引量:12

The application of evidence -based nursing in care of postoperative with hypertensive cerebral hemorrhage combined with disturbance of consciousness

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作  者:聂婉翎[1] 李艳[1] 程丽[1] 林维彬[1] 

机构地区:[1]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086

出  处:《中国医药导报》2013年第26期132-134,共3页China Medical Herald

摘  要:目的 探讨循证护理在高血压性脑出血术后合并意识障碍患者护理实践中的临床意义.方法 应用循证法对某三甲医院干部病房2009年10月~2011年9月262例高血压性脑出血术后合并意识障碍患者进行临床护理实践和综合评价,其中对照组131例按传统的护理方法进行护理,即沿用目前神经内科的临床护理模式.观察组131例患者采用积极的循证护理.比较两组预后效果.结果 经过观察,观察组再次手术率与病死率都明显低于对照组(t=9.621、20.228,P<0.05),同时观察组患者的住院天数较对照组明显缩短(t=3.825,P<0.05).护理后观察组的MPOC-56各维度得分与总得分均显著高于对照组(P<0.05).护理后观察组的生活质量三个维度得分高于对照组,差异有统计学意义(P<0.05).结论应用循证护理知识指导临床护理实践工作,确保了工作效率和工作质量,从而提高患者治愈率.Objective To investigate the clinical significance of evidence-based nursing in nursing care of postopera- tive patients with hypertensive cerebral hemorrhage combined with disturbance of consciousness. Methods Evidence- based approach were used for 262 postoperative patients with hypertensive cerebral hemorrhage combined with distur- bance of consciousness from October 2009 to September 2011 Cadre Ward of a three armour hospital to carry out clinical nursing practice and extensive evaluation. The control group of 131 cases were followed the clinical care mode of the Department of Neurology. The observation group of 131 cases were given positively evidence-based care. Two groups of prognostic effect were compared. Results The re-surgery" and mortality in the observation group was signifi- cantly lower than that in the control group (t = 9.621, 20.228, P 〈 0.05), the time of hospital days of the observation group were significantly shorter than that in the control group (t = 3.825, P 〈 0.05). After care, the observation group's MPOC-56 total score and scores were significantly higher (P 〈 0.05). The three dimensions score of quality of life of the observation group were higher than that in the control group, the difference was statistically significant (P 〈 0.05). Conclusion Application of evidence-based nursing in clinical nursing practice to ensure the efficiency and quality of work can increase the cure rate.

关 键 词:循证护理 高血压性脑出血 护理 

分 类 号:R473.6[医药卫生—护理学]

 

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