使用左乙拉西坦治疗老年性癫痫患者的循证护理

【目的】探讨使用左乙拉西坦治疗老年性癫痫患者的循证护理。【方法】本院2010年1月至2013年1月收治的老年性癫痫患者82例，以2011年7月1日为分界，将之前收治与之后收治的患者分别纳入常规护理组（39例）、循证护理组（43例）。常规护理组采用常规护理，循讧护理组采用循证护理模式。对所有患者采用汉密尔顿焦虑量表（HAMA）评价患者精神状态、不确定感量表（MUIS）评价患者对疾病及相关事物的认知能力、简明健康状况问卷（SF-36）评价患者生活质量，并比较两组患者平均住院天数、并发症发生率、对护理质量的满意度。【结果】两组患者入院时一般资料、HAMA评分、MUIS评分、SF-36评分均无明显差异（P均〉0．05）；入院2周后，与常规护理组相比，循证护理组HAMA评分、SF-36各维度评分、MUIS评分均优于常规护理组，差异有统计学意义（P均〈0．05）；此外，与常规护理组相比，循证护理组平均住院天数较短、并发症发生率较小、对护理质量的满意度较高（P均〈0．05）。【结论】老年性癫痫患者行左乙拉西坦治疗时采用循证护理模式进行护理，可显著改善患者的精神状态、生活质量、自我认知能力，并显著缩短平均住院时间、减少并发症发生、提高护理质量。

Evidence-based Nursing Care of Elderly Patients with Epilepsy Receiving Levetiracetam Treatment

Objective] To explore the evidence-based nursing care of senile patents with epilepsy receiving levetiracetam. Methods] A total of 82 elderly patients with epilepsy admitted to our hospital from Jan. 2010 to Jan. 2013 were enrolled in the study. Patients admitted to hospital before 1st July 2011 was enrolled in routine nursing care group（ n =39）, while patients admitted to hospital after 1st July 2011 were enrolled in evidence-based nursing care group（ n =43）. Routine nursing care group received the conventional nursing care, while evidence-based nursing care group received evidence-based nursing care mode. Hamilton anxiety scale （HAMA） was used to evaluate mental state of patients. MUIS scale was used to evaluate the cognitive abilities to the disease and the related events. SF-36 scale was used to evaluate the patients＇ quality of life. The average length of hospital stay, complication rates and satisfaction with the quality of care were compared between two groups. Results]There was no obvious difference in general information, HAMA score, MUIS score and SF- 36 score between two groups on admission（ P 〉0.05）. HAMA score, SF-36 score and MUIS score in evidence-based nursing care group 2 weeks after admission were better than those in routine nursing care group, and there were significant differences（ P 〈0. 05）. In addition, the average length of hospital stay was shorter,and the complication rate was smaller, and the satisfaction with the quality of care was higher in evidence- based nursing care group in comparison with routine nursing care group（ P 〈0.05）. Conclusion]The evidenee-based nursing care for elderly patients with epilepsy receiving levetiracetam treatment can significantly improve the mental state, quality of life and self cognitive ability of patients, and markedly shorten the average length of hospital stay, reduce the incidence of complications and increase the quality of care.