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循证护理在高血压脑出血患者药物治疗过程中的应用效果

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目的:观察循证护理在高血压脑出血患者药物治疗期间的临床效果.方法:选取 2021 年 1 月—2023 年 1 月济源市第二人民医院收治的高血压脑出血患者92例作为研究对象,以随机数字表法将患者分为对照组和试验组,每组46例.两组均给予尼莫地平治疗,在此基础上,对照组实施常规护理干预,试验组实施循证护理干预,比较两组临床指标、神经功能恢复情况、生活质量、并发症发生率及护理质量.结果:试验组脑水肿体积、血肿体积小于对照组,GCS评分高于对照组(P<0.05);试验组mRS评分低于对照组,NHP评分高于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05);试验组服务态度、护理技术、心理支持及康复护理评分高于对照组(P<0.05).结论:在药物治疗期间,辅以循证护理干预可提升高血压脑出血患者的护理效果,能够促进脑血肿的吸收,减轻患者的脑水肿,有效改善患者预后,提升患者的生活质量,且患者药物不良反应未出现明显增加,用药安全性较高,同时患者对循证护理干预措施的评价较高.
Application Effect of Evidence-based Nursing in Patients with Hypertensive Cerebral Hemorrhage During Drug Treatment
Objective:To observe the clinical effect of evidence-based nursing in patients with hypertensive cerebral hemorrhage during drug treatment.Methods:A total of 92 patients with hypertensive cerebral hemorrhage admitted to the Jiyuan City Second People's Hospital from January 2021 to January 2023 were selected as the research objects.The patients were divided into control group and experimental group by random number table method,with 46 patients in each group.Both groups were given nimodipine treatment,on this basis,the control group was given routine nursing intervention,and the experimental group was given evidence-based nursing intervention.The clinical indicators,neurological function recovery,quality of life,complication rate and quality of care were compared between the two groups.Results:The volume of cerebral edema and hematoma in the experimental group was smaller than that in the control group,and the GCS score was higher than that in the control group(P<0.05).The mRS score of the experimental group was lower than that of the control group,and the NHP score was higher than that of the control group(P<0.05).The incidence of complications in the experimental group was lower than that in the control group(P<0.05).The scores of service attitude,nursing technology,psychological support and rehabilitation nursing in the experimental group were higher than those in the control group(P<0.05).Conclusion:During the period of drug treatment,evidence-based nursing intervention can improve the nursing effect of patients with hypertensive cerebral hemorrhage,promote the absorption of cerebral hematoma,reduce the brain edema of patients,effectively improve the prognosis of patients,and improve the quality of life of patients.Meanwhile,the adverse drug reactions of patients did not increase significantly,and the safety of medication was high.At the same time,patients had a higher evaluation of evidence-based nursing interventions.

Evidence-based nursing interventionNimodipineHypertensive cerebral hemorrhageNursing satisfaction

郭秧秧、李鸿雁、程安林、刘寒松

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济源市第二人民医院,河南 济源 459000

济源市中医院脑外科,河南 济源 459000

循证护理干预 尼莫地平 高血压脑出血 护理满意度

2019年河南省医学科技攻关计划联合共建项目

LHGJ20191053

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(7)