基于循证策略的预见性护理干预对帕金森患者体位性低血压的影响  

Effect of Evidence-based Strategy-based Anticipatory Care Intervention on Postural Hypotension in Parkinson’s Patients

作　　者：陈琴[1] 廖旭[1] 李娟[1] Chen Qin;Liao Xu;Li Juan(Department of Neurology,Deyang People’s Hospital,Deyang,Sichuan,618000,China)

机构地区：[1]德阳市人民医院神经内科,四川德阳618000

出　　处：《黑龙江医学》2023年第24期3035-3037,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨借助循证方法制定预见性护理措施在帕金森患者护理中的应用效果。方法:选取2018年1月—2021年1月于德阳市人民医院就诊的82例帕金森患者作为研究对象,按照随机数表法分为观察组与对照组,每组各41例。对照组采用常规护理干预,观察组采用基于循证策略的预见性护理干预,比较两组患者体位性低血压发生频率、用药依从性和患者满意度。结果:干预前,两组患者体位性低血压发生频率相比较,差异无统计学意义(t=0.403,P>0.05);干预后,两组患者发生频率均降低,且观察组发生频率明显低于对照组,差异有统计学意义(t=10.163,P<0.05)。观察组用药依从性为97.56%,明显高于对照组的85.37%,差异有统计学意义(χ^(2)=3.905,P<0.05)。观察组满意度为95.12%,明显高于对照组的78.05%,差异有统计学意义(χ^(2)=5.145,P<0.05)。结论:在帕金森患者的护理中,采用基于循证策略的预见性护理有助于减轻患者体位性低血压病症,提高用药依从性及护理满意度。Objective:To explore the effectiveness of developing anticipatory care measures in the care of Parkinson’s patients with the help of an evidence-based approach.Methods:82 Parkinson’s patients attending the hospital from January 2018 to January 2021 were selected as study subjects and divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group used conventional nursing interventions and the observation group used anticipatory nursing interventions based on evidence-based strategies.The frequency of postural hypotension,medication adherence and patient satisfaction were compared between the two groups.Results:Before the intervention,there was no statistically significant difference in the frequency of postural hypotension compared between the two groups(t=0.403,P>0.05).After the intervention,the frequency of occurrence was reduced in both groups,and was significantly lower in the observation group than in the control group,with statistically significant differences(t=10.163,P<0.05).The medication compliance in the observation group was 97.56%,which was significantly higher than 85.37%in the control group,and the difference was statistically significant(χ^(2)=3.905,P<0.05).The satisfaction rate of 95.12%in the observation group was significantly higher than 78.05%of in the control group,and the difference was statistically significant(χ^(2)=5.145,P<0.05).Conclusion:In the care of Parkinson’s patients,the use of anticipatory care based on evidence-based strategies can help reduce postural hypotension and improve medication adherence and satisfaction with care.

关 键 词：循证策略 预见性护理 帕金森 体位性低血压 

分 类 号：R248.1[医药卫生—中医临床基础]