循证护理对急性脑梗死并发高血压患者神经功能及自我护理能力的影响

目的 通过循证的方法,针对急性脑梗死并发高血压患者给予有效、科学的护理干预,探讨其对患者神经功能及自我护理能力的影响,为临床护理提供可行方案。 方法 选取2018年5月—2019年10月湖州市中心医院收治的104例急性脑梗死并发高血压患者作为研究对象,根据随机数字表法将其分为对照组和观察组,各52例。对照组患者应用常规护理,观察组患者在对照组基础上应用循证护理干预。对比2组患者护理干预前后神经功能、运动功能及自我护理能力评分,并统计2组患者护理满意度。 结果 护理干预前,2组患者简易智能精神状态检查量表(MMSE)、日常生活活动功能量表(ADL)及自我护理能力量表(ESCA)评分比较差异无统计学意义(均P>0.05);护理干预后,2组患者各项评分均有所改善,观察组MMSE及ADL评分分别为(26.27±2.87)分、(62.37±4.60)分,均高于对照组(21.45±3.41)分、(54.77±4.16)分,均P<0.05];观察组患者护理满意度为100.0%(52/52),高于对照组的84.6%(44/52,P<0.05)。 结论 循证护理在常规治疗的基础上可有效改善急性脑梗死合并高血压患者神经功能及运动功能,提高患者自我护理能力,提高护理满意度。 

Effects of evidence-based nursing on neurological function and self-nursing ability of patients with acute cerebral infarction complicated with hypertension

Objective Through the evidence-based method, the patients with acute cerebral infarction complicated with hypertension were given effective, scientific nursing intervention, to explore its impact on the patient's neurological function and self-care ability, and provide a feasible plan for clinical nursing. Methods A total of 104 patients with acute cerebral infarction complicated with hypertension admitted to Huzhou Central Hospital from May 2018 to October 2019 were selected as the study subjects. According to the random number table method, they were divided into control group and observation group with 52 cases respectively. Patients in the control group were given routine nursing, and patients in the observation group were given evidence-based nursing intervention on the basis of the control group. The scores of neurological function, motor function and self-care ability before and after nursing intervention were compared between the two groups, and the nursing satisfaction of the two groups was counted. Results Before nursing intervention, there was no statistically significant difference in the scores of mini-mental state examination(MMSE), activities of daily living(ADL) and exercise of self-care agency scale(ESCA) between the two groups(all P>0.05). After nursing intervention, the scores of MMSE and ADL in the observation group were(26.27±2.87) points and(62.37±4.60) points, respectively, which were higher than those in the control group (21.45±3.41) points,(54.77±4.16) points, all P<0.05]. The nursing satisfaction of patients in the observation group was 100.0%(52/52), higher than that of the control group 84.6%(44/52), P<0.05]. Conclusion On the basis of routine treatment, evidence-based nursing can effectively improve the neurological function and motor function of patients with acute cerebral infarction complicated with hypertension, improve the self-nursing ability of patients, and improve the nursing satisfaction.