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循证护理干预对脑卒中患者生活质量、认知水平及日常生活能力的影响
引用本文:陈爽,张镭,张莹.循证护理干预对脑卒中患者生活质量、认知水平及日常生活能力的影响[J].实用临床医药杂志,2017,21(18).
作者姓名:陈爽  张镭  张莹
作者单位:辽宁省锦州市中心医院 神经内科,辽宁锦州,121000
摘    要:目的探讨循证护理干预对脑卒中患者生活质量及认知水平的影响。方法选取确诊的脑卒中患者100例,根据入院就诊编号平均分组,单号为对照组(采用常规护理),双号为研究组(在对照组护理基础上实施循证护理),对比2组患者护理效果。结果护理干预后,研究组患者社会功能、精神健康、情感职能、活动力、躯体疼痛、生理职能、生理功能、总体健康各项评分均高于对照组(P0.05)。护理干预前,2组患者间MMSE、NCSE评分差异无统计学意义(P0.05);护理干预后,研究组MMSE、NCSE评分均高于对照组(P0.05)。护理干预前,2组Barthel指数评分差异无统计学意义(P0.05);护理干预后,2组Barthel指数评分均高于干预前(P0.05),且研究组Barthel指数评分高于对照组(P0.05)。结论对脑卒中患者实施循证护理干预效果显著,不仅能改善生活质量,还能提高认知水平,值得在临床推广应用。

关 键 词:脑卒中  生活质量  循证护理  认知水平  日常生活能力

Effect of evidence-based nursing intervention on quality of life,cognitive level and daily living ability of stroke patients
CHEN Shuang,ZHANG Lei,ZHANG Ying.Effect of evidence-based nursing intervention on quality of life,cognitive level and daily living ability of stroke patients[J].Journal of Clinical Medicine in Practice,2017,21(18).
Authors:CHEN Shuang  ZHANG Lei  ZHANG Ying
Abstract:Objective To investigate the effect of evidence-based nursing intervention on the quality of life and cognition of stroke patients.Methods A total of 100 patients with stroke admitted in our hospital were randomly divided into two groups according to visit numbers.The oddnumbered patients were as control group (routine care),and the even-numbered patients as study group(evidence-based nursing),with 50 patients per group.The nursing efficacy of the two groups were compared and analyzed.Results After treatment,the social function,mental health,emotional function,activity,physical pain,physiological function,physiological function and overall health scores of the study group were significantly higher than that of the control group,the differences were significant (P < 0.05).There was no significant difference in MMSE and NCSE scores between the two groups (P > 0.05),but the study group was significantly higher than the control group after nursing(P <0.05).There was no significant difference in Barthel index scores between the two groups (P > 0.05),and it was significantly higher than nursing before in two groups,but the study group was significantly higher than that in the control group (P < 0.05).Conclusion The effect of evidence-based care is significant,it can improve the quality of life and their cognitive level of patients,so it is worthy of in clinical promotion.
Keywords:stroke  quality of life  evidence-based care  cognitive level  daily living ability
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