摘要
目的探讨综合性护理干预在后循环缺血性眩晕患者中的应用效果。方法选取2017年3月~2019年3月于我院就诊的68例后循环缺血性眩晕患者,按随机数字表法分为两组,每组各34例。对照组实施常规护理,观察组实施综合性护理干预,比较两组干预前和干预7 d后的眩晕程度、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及生活自理能力(Barthel)评分。结果两组干预前的眩晕程度、HAMA、HAMD及Barthel评分比较,差异无统计学意义(P>0.05);观察组干预后的眩晕程度改善效果优于对照组,差异有统计学意义(P<0.05);观察组干预后的HAMA、HAMD评分低于对照组,差异均有统计学意义(P<0.05);观察组干预后的Barthel评分高于对照组,差异有统计学意义(P<0.05)。结论综合性护理干预能减轻后循环缺血性眩晕患者的眩晕程度,有效缓解焦虑、抑郁等消极情绪,利于提高患者生活自理能力,值得推广应用。
Objective To explore the application effect of comprehensive nursing intervention in the patients with posterior circulation ischemic vertigo.Methods A total of 68 patients with posterior circulation ischemic vertigo who were treated in our hospital from March 2017 to March 2019 were selected and divided into two groups according to the random number table method,34 cases in each group.The control group was given routine care,and the observation group was given comprehensive nursing intervention.The vertigo degree,Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)and self-care ability for daily living(Barthel)scores before intervention and 7 d after intervention were compared between the two groups.Results There was no statistically significant difference in vertigo degree,HAMA,HAMD and Barthel scores before intervention between the two groups(P>0.05);the effect of improving the vertigo after intervention in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05);the HAMA and HAMD scores in the observation group after intervention were lower than those in the control group,and the differences were statistically significant(P<0.05);the Barthel score in the observation group after intervention was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing intervention can reduce the vertigo degree in the patients with posterior circulation ischemic vertigo,effectively relieve negative emotions such as anxiety and depression,and help to improve patients′self-care ability for daily living.It is therefore worthy of promotion and application.
作者
郭芬
苏晓玉
GUO Fen;SU Xiao-yu(Department of Traditional Chinese Medicine,Huizhou Third People′s Hospital,Guangdong Province,Huizhou 516000,China)
出处
《中国当代医药》
2020年第25期221-224,共4页
China Modern Medicine
基金
广东省惠州市科技计划项目(2019Y183)。
关键词
综合性护理
后循环缺血
眩晕
眩晕程度
心理状态
Comprehensive nursing
Posterior circulation ischemia
Vertigo
Vertigo degree
Mental state
