循证护理应用于房颤合并脑栓塞患者中的临床护理体会  

Clinical Nursing Experience of Evidence-based Nursing in Patients with Atrial Fibrillation Complicated with Cerebral Embolism

作　　者：牛月晴 NIU Yueqing(Department of Cardiology,Liaoyang Second People's Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市第二人民医院心内一科,辽宁辽阳111000

出　　处：《中国医药指南》2022年第18期49-52,共4页Guide of China Medicine

摘　　要：目的探讨对房颤合并脑栓塞患者运用循证护理的效果。方法挑选2018年2月至2019年2月我院收治的60例房颤合并脑栓塞患者作为研究对象,遵循双盲法把所有患者分成观察组与对照组,每组30例。向对照组患者提供常规护理,向观察组患者提供循证护理。分析比较两组护理成效。结果经过治疗与护理,两组患者的肢体运动能力与日常生活能力都得到一定程度改善,观察组的Fugl-Meyer评分、Barthel指数分别为(70.12±27.09)、(73.41±21.78),对照组相对应的分别为(51.37±23.22)、(47.83±22.64),观察组的Fugl-Meyer评分、Barthel指数都远高于对照组,差异具有统计学意义(P<0.05)。两组患者对护理服务的肯定情况对比,观察组的总认可率为93.33%,对照组的总认可率为73.33%,观察组患者对护理干预的认可度更高于对照组,差异具有统计学意义(P<0.05)。两组护理前的生活质量水平基本相同,无统计学意义(P>0.05)。护理后,观察组的生活质量测评指标的评分分别为(90.22±4.95)分、(89.33±5.26)分、(88.26±4.55)分、(91.15±4.88)分,对照组相对应的分别为(85.19±6.42)分、(84.49±6.14)分、(84.17±5.83)分、(85.42±5.24)分,观察组患者相比对照组,其生活质量更高,差异具有统计学意义(P<0.05)。对比两组护理质量,观察组的护理质量指标评分分别为(9.45±1.33)分、(9.17±1.62)分、(9.51±0.95)分、(8.83±1.58)分,对照组相对应的分别为(7.89±1.42)分、(7.02±1.28)分、(7.67±1.54)分、(6.77±1.71)分,观察组的护理质量好于对照组,差异具有统计学意义(P<0.05)。结论对于房颤合并脑栓塞患者而言,实施循证护理干预,可以明显改善病情,提高患者的生活品质。Objective To explore the effect of evidence-based nursing on patients with atrial fibrilla tion complicated with cerebral embolism.Methods Sixty patients with atrial fibrillation complicated with cerebral embolism admitted to our hospital from February 2018 to February 2019 were selected as research objects,and all patients were divided into observation group and control group according to double blind method,with 30 cases in each group.Routine nursing was provided to patients in the control group and evidence-based nursing was provided to patients in the observation group.Analyze and compare the nursing effects of the two groups.Results After treatment and nursing,the limb movement ability and daily living ability of the two groups of patients were improved to a certain extent.The scores of Fugl-Meyer,Barthel Index in the observation group were respectively(70.12±27.09),(73.41±21.78),those of the control group were respectively(51.37±23.22),(47.83±22.64),so the score of Fugl-Meyer,Barthel Index in the observation group were higher than those in the control group,which the difference is statistically significant(P<0.05).Compared with the affirmation of nursing service between the two groups,the total approval rate in the observation group was 93.33%,that of the control group was 73.33%,so the patients in the observation group have higher recognition of nursing intervention than those in the control group,which the difference is statistically significant(P<0.05).The level of quality of life before care was essentially the same in both groups,which there was not statistically significant(P>0.05).After nursing,the scores of quality of life indicators in the observation group were(90.22±4.95)point,(89.33±5.26)point,(88.26±4.55)point,(91.15±4.88)point,those of the control group were respectively(85.19±6.42)point,(84.49±6.14)point,(84.17±5.83)point,(85.42±5.24)point,so the patients in the observation group had higher quality of life than those in the control group,which there were statistically significant(

关 键 词：循证护理 房颤 脑栓塞 效果 

分 类 号：R473.5[医药卫生—护理学] R473.74[医药卫生—临床医学]