循证护理对脑梗死伴发高血压的影响观察(1)
【摘要】 目的 探讨循证护理对脑梗死伴发高血压的影响。方法 96例脑梗死伴发高血压患者， 随机分为对照组和观察组， 每组48例。对照组采用常规护理， 观察组采用循证护理， 比较两组患者的美国国立卫生研究院卒中量表(NIHSS)评分、血压水平(收缩压和舒张压)、并发症发生情况及护理满意度。结果 护理前， 两组患者的NIHSS评分、收缩压、舒张压比较差异无统计学意义(P>0.05)。护理后， 两组患者的NIHSS评分、收缩压、舒张压明显低于护理前， 且观察组低于对照组， 差异具有统计学意义(P<0.05)。护理后， 观察组的并发症发生率4.17%明显低于对照组的18.75%， 护理满意度97.92%明显高于对照组的72.92%， 差异具有统计学意义(P<0.05)。结论 循证护理对脑梗死伴发高血压的护理效果显著， 能够对护理中发现的问题给予针对性护理， 提升护理质量， 促进神经功能的恢复， 有效控制血压， 减少并发症发生， 提升护理满意度， 具有积极的临床意义。
【关键词】 脑梗死；高血压；循证护理；影响观察
DOI：10.14163/j.cnki.11-5547/r.2018.09.094
【Abstract】 Objective To discuss the effect of evidence-based nursing on cerebral infarction complicated with hypertension. Methods A total of 96 patients with cerebral infarction complicated with hypertension were randomly divided into control group and observation group， with 48 cases in each group. The control group received conventional nursing， and the observation group received evidence-based nursing. Comparison were made on National Institutes of Health Stroke scale (NIHSS) score， blood pressure level (systolic and diastolic blood pressure)， occurrence of complications and nursing satisfaction between the two groups. Results Before nursing， both groups had no statistically significant difference in NIHSS score， systolic blood pressure and diastolic blood pressure (P>0.05). After nursing， both groups had obviously lower NIHSS score， systolic blood pressure and diastolic blood pressure than before nursing， and the observation group was lower than the control group. Their difference was statistically significant (P<0.05). After nursing， the observation group had obviously lower incidence of complications as 4.17% than 18.75% in the control group， and obviously higher nursing satisfaction as 97.92% than 72.92% in the control group. Their difference was statistically significant (P<0.05). Conclusion Evidence-based nursing shows remarkable nursing effect on cerebral infarction complicated with hypertension， and it can provide targeted nursing for the problems found in nursing， improve the quality of nursing， promote the recovery of neurological function， control blood pressure effectively， reduce complications and improve nursing satisfaction. It contains a positive clinical significance.
【Key words】 Cerebral infarction； Hypertension； Evidence-based nursing； Effect observation
腦梗死是临床常见的脑血管疾病， 高血压是其独立危险因素之一， 脑梗死伴发高血压患者的死亡率明显升高， 治疗难度也更大， 因此， 临床对这类患者的治疗和护理十分重视。在治疗的过程中配合针对性护理干预， 可明显提升治疗效果， 促进症状的早期缓解， 改善生活质量。循证护理是一种新型的护理方法， 通过发现护理实践中的问题， 查找文献证据， 并准确审慎的应用于护理策略的制定和实施中， 以不断改进护理方法， 提升护理质量[1]。本研究进一步分析循证护理对脑梗死伴发高血压的影响， 现具体汇报如下。, 百拇医药(郑银芳 蚁静君)
【关键词】 脑梗死；高血压；循证护理；影响观察
DOI：10.14163/j.cnki.11-5547/r.2018.09.094
【Abstract】 Objective To discuss the effect of evidence-based nursing on cerebral infarction complicated with hypertension. Methods A total of 96 patients with cerebral infarction complicated with hypertension were randomly divided into control group and observation group， with 48 cases in each group. The control group received conventional nursing， and the observation group received evidence-based nursing. Comparison were made on National Institutes of Health Stroke scale (NIHSS) score， blood pressure level (systolic and diastolic blood pressure)， occurrence of complications and nursing satisfaction between the two groups. Results Before nursing， both groups had no statistically significant difference in NIHSS score， systolic blood pressure and diastolic blood pressure (P>0.05). After nursing， both groups had obviously lower NIHSS score， systolic blood pressure and diastolic blood pressure than before nursing， and the observation group was lower than the control group. Their difference was statistically significant (P<0.05). After nursing， the observation group had obviously lower incidence of complications as 4.17% than 18.75% in the control group， and obviously higher nursing satisfaction as 97.92% than 72.92% in the control group. Their difference was statistically significant (P<0.05). Conclusion Evidence-based nursing shows remarkable nursing effect on cerebral infarction complicated with hypertension， and it can provide targeted nursing for the problems found in nursing， improve the quality of nursing， promote the recovery of neurological function， control blood pressure effectively， reduce complications and improve nursing satisfaction. It contains a positive clinical significance.
【Key words】 Cerebral infarction； Hypertension； Evidence-based nursing； Effect observation
腦梗死是临床常见的脑血管疾病， 高血压是其独立危险因素之一， 脑梗死伴发高血压患者的死亡率明显升高， 治疗难度也更大， 因此， 临床对这类患者的治疗和护理十分重视。在治疗的过程中配合针对性护理干预， 可明显提升治疗效果， 促进症状的早期缓解， 改善生活质量。循证护理是一种新型的护理方法， 通过发现护理实践中的问题， 查找文献证据， 并准确审慎的应用于护理策略的制定和实施中， 以不断改进护理方法， 提升护理质量[1]。本研究进一步分析循证护理对脑梗死伴发高血压的影响， 现具体汇报如下。, 百拇医药(郑银芳 蚁静君)