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目的探讨循证护理在缺血性脑卒中患者中的应用效果及对预后的影响,为规范化护理干预模式提供依据。方法将天津市第四中心医院近3年收治的168例缺血性脑卒中患者随机分为循证组和对照组,每组各84例。两组均采取相同用药方案,对照组予以常规护理,循证组予以循证护理。比较两组患者的预后,并对其疗效进行统计学分析。结果经护理干预后,循证组肺部感染、泌尿道感染和压疮的发生例数分别为8(9.52%)、9(10.71%)和4(4.76%)例,对照组分别为20(23.81%)、21(25.00%)和13(15.48%)例,2组的差异均有统计学意义,循证组患者有72例具有自理能力,占85.71%,高于对照组的58.33%。结论循证护理应用于缺血性脑卒中患者治疗护理中,可提高治疗效果,减少并发症和后遗症的发生,改善生活质量。
Objective To explore the application of evidence-based nursing in patients with ischemic stroke and its impact on prognosis, and to provide basis for standardizing nursing intervention. Methods 168 cases of ischemic stroke admitted to the Fourth Central Hospital of Tianjin in the recent 3 years were randomly divided into evidence-based group and control group, with 84 cases in each group. Both groups took the same medication program, the control group to be routine care, evidence-based group to be evidence-based care. The prognosis of the two groups were compared, and their effects were statistically analyzed. Results After nursing intervention, the incidences of pulmonary infection, urinary tract infection and pressure ulcer in the evidence-based group were 8 (9.52%), 9 (10.71%) and 4 (4.76% 23.81%), 21 (25.00%) and 13 (15.48%) respectively. The difference between the two groups was statistically significant. There were 72 cases of self-care ability in the evidence-based group, accounting for 85.71%, which was higher than 58.33% of the control group. Conclusion Evidence-based nursing should be used in the treatment of patients with ischemic stroke, which can improve the therapeutic effect, reduce the incidence of complications and sequelae, and improve the quality of life.