摘要
目的通过查阅文献,制定循证护理方案并临床实施,旨在观察循证护理对脑出血术后患者的护理效果,分析探究循证护理的临床应用价值。方法将46例确诊为脑出血并进行手术治疗的患者根据随机数字法随机分为常规护理组和循证护理组,常规护理组给予脑出血术后常规护理方法,循证护理组则给予常规护理联合循证护理方法,对两组患者护理干预后的生命体征、并发症发生率、住院时间及护理满意度等指标进行差异性分析。结果护理干预后,(1)循证护理组患者的血压、心率、呼吸等生命体征均显著的优于常规护理组,二者之间比较差异具有统计学意义(P <0.05),而两组患者的血氧饱和度比较,组间差异无统计学意义(P> 0.05);(2)与常规护理组患者相比较,循证护理组患者的下肢静脉血栓、压疮、继发感染、便秘等并发症发生率显著性降低,二者之间比较差异具有统计学意义(P <0.05);(3)循证护理组患者的住院时间显著性少于常规护理组,且循证护理组患者的护理满意度显著性高于常规护理组患者,二者之间比较差异具有统计学意义(P <0.05)。结论循证护理对于脑出血术后患者的临床护理效果显著,保证了患者的生命体征维持动态平衡,缩短了患者的住院时间,减少了并发症的发生率,降低了患者的疼痛程度,使得患者对护理满意度大幅提升,值得在临床上广泛应用。
Objective Through consulting the literature,the evidence-based nursing plan was developed and clinically implemented to observe the nursing effects of evidence-based nursing for postoperative patients with cerebral hemorrhage,and to analyze the clinical application value of evidencebased nursing.Methods 46 patients diagnosed as having cerebral hemorrhage and undergoing surgical treatment were randomly divided into a routine nursing group and an evidence-based nursing group according to a random number method.The routine nursing group was given routine nursing care for intracerebral hemorrhage,while the evidence-based nursing group was given routine nursing care.Evidence-based nursing methods to analyze the differences in vital signs,complication rates,length of hospital stay,and nursing satisfaction after nursing intervention in the two groups of patients.Results After the nursing intervention,①the blood pressure,heart rate,respiration and other vital signs of the patients in the evidence-based nursing group were significantly better than those in the conventional care group.There was a statistically significant difference between the two groups(P<0.05),Oxygen saturation comparison,there was no significant difference between groups(P>0.05);②compared with the routine care group of patients,evidence-based nursing group of patients with lower extremity venous thrombosis,pressure sores,secondary infection,constipation and other complications Significantly decreased,there was a statistically significant difference between the two(P<0.05);③Significantly shorter hospital stay in the evidence-based nursing group was less than that of the routine nursing group,and the patient satisfaction rate of the evidence-based nursing group was significantly higher.There was a statistically significant difference between the two groups in the routine care group(P<0.05).Conclusion Evidence-based nursing has a significant clinical nursing effect on postoperative patients with cerebral hemorrhage,ensuring that the patient's vital signs maintain a dynamic balance,shortening the patient's hospitalization time,reducing the incidence of complications,reducing the patient's pain,making the patient's care Satisfaction is greatly improved and is worthy of extensive clinical application.
作者
刘黔
LIU Qian(Shenyang Sujiatun District Center for Disease Control and Prevention,Shenyang 110101,China)
出处
《中国医药指南》
2018年第28期9-11,共3页
Guide of China Medicine
关键词
脑出血
术后
循证护理
临床
Intracerebral Hemorrhage
Postoperative
Evidence-based nursing
Clinical
