循证护理干预对高血压脑出血与患者心理状态恢复及并发症的影响(1)
摘 要：目的 探究与分析循证护理干预对高血压脑出血与患者心理状态恢复及并发症的影响。方法 选取我院自2015年5月～2017年5月收治的80例高血压脑出血患者，全部患者均接受了微创颅内血肿清除术治疗，采取随机数字表法分为对照组与观察组，每组40例。对照组给予常规护理，观察组在对照组基础上给予循证护理干预，对比两组患者心理状态情况及并发症发生率。结果 对照组护理后SAS及SDS评分分别为(52.76±5.51)分、(53.40±5.35)分，观察组护理后SAS及SDS评分分别为(45.87±5.20)分、(46.49±5.34)分，两组患者护理后与护理前相比，SAS、SDS评分均降低，且观察组低于对照组，差异具有统计学意义(P<0.05)。观察组并发症发生率为7.50%，低于对照组的20.00%，差异具有统计学意义(P<0.05)。结论 将循证护理干预应用于高血压脑出血患者中能够明显缓解患者的焦虑抑郁症状，促进改善患者的生活质量，降低并发症发生率，提升临床护理的安全性。
关键词：循证护理干预；高血压脑出血；心理状态；并发症
, 百拇医药
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.057
文章编号：1006-1959(2018)14-0180-03
Abstract：Objective To explore and analyze the effects of evidence-based nursing intervention on hypertensive cerebral hemorrhage and psychological recovery and complications.Methods 80 patients with hypertensive intracerebral hemorrhage admitted to our hospital from May 2015 to May 2017 were enrolled.All patients underwent minimally invasive intracranial hematoma evacuation.They were randomly divided into control group and observation group.40 cases per group.The control group received routine nursing care， and the observation group received evidence-based nursing intervention on the basis of the control group.The psychological status and complication rate of the two groups were compared.Results The SAS and SDS scores of the control group were(52.76±5.51)points and (53.40±5.35)points respectively.The SAS and SDS scores of the observation group were(45.87±5.20)points and(46.49±5.34)points respectively.The scores of SAS and SDS of the two groups were lower than those before nursing，and the observation group was lower than that of the control group，the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 7.50%，lower than that in the control group 20.00%，and the difference was statistically significant(P<0.05).Conclusion The application of evidence-based nursing intervention to patients with hypertensive cerebral hemorrhage can obviously relieve the symptoms of anxiety and depression，improve the quality of life of the patients，reduce the incidence of complications and improve the safety of clinical nursing.
, 百拇医药
Key words：Evidence-based nursing intervention；Hypertensive cerebral hemorrhage；Psychological state；Complications
高血压脑出血(hypertensive cerebral hemorrhage)作为临床上一类发病率较高的脑血管微循环障碍性疾病，临床上通常可表现出不同程度的头痛、头晕、偏瘫及意识障碍等症状，具有较高的死亡率及致残率，对患者的生命健康及预后带来了较大的影响[1]。近年来，针对高血压脑出血的治疗多以手术治疗为主，虽然能够获得良好的效果，但同时对护理方法的实施也提出了更高的要求[2]。以往临床上实施的常规护理仅能满足基本需求，但部分患者由于疾病及预后带来的躯体障碍及并发症等因素的影响，通常会产生不同方面的情绪方面的问题，常规护理无法将其进行有效的解决。为此，本次研究將循证护理干预应用于临床工作中，针对不同护理方法对高血压脑出血患者带来的影响进行分析，结果总结报告如下。, 百拇医药(陈春香 顾宇丹)
关键词：循证护理干预；高血压脑出血；心理状态；并发症
, 百拇医药
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.057
文章编号：1006-1959(2018)14-0180-03
Abstract：Objective To explore and analyze the effects of evidence-based nursing intervention on hypertensive cerebral hemorrhage and psychological recovery and complications.Methods 80 patients with hypertensive intracerebral hemorrhage admitted to our hospital from May 2015 to May 2017 were enrolled.All patients underwent minimally invasive intracranial hematoma evacuation.They were randomly divided into control group and observation group.40 cases per group.The control group received routine nursing care， and the observation group received evidence-based nursing intervention on the basis of the control group.The psychological status and complication rate of the two groups were compared.Results The SAS and SDS scores of the control group were(52.76±5.51)points and (53.40±5.35)points respectively.The SAS and SDS scores of the observation group were(45.87±5.20)points and(46.49±5.34)points respectively.The scores of SAS and SDS of the two groups were lower than those before nursing，and the observation group was lower than that of the control group，the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 7.50%，lower than that in the control group 20.00%，and the difference was statistically significant(P<0.05).Conclusion The application of evidence-based nursing intervention to patients with hypertensive cerebral hemorrhage can obviously relieve the symptoms of anxiety and depression，improve the quality of life of the patients，reduce the incidence of complications and improve the safety of clinical nursing.
, 百拇医药
Key words：Evidence-based nursing intervention；Hypertensive cerebral hemorrhage；Psychological state；Complications
高血压脑出血(hypertensive cerebral hemorrhage)作为临床上一类发病率较高的脑血管微循环障碍性疾病，临床上通常可表现出不同程度的头痛、头晕、偏瘫及意识障碍等症状，具有较高的死亡率及致残率，对患者的生命健康及预后带来了较大的影响[1]。近年来，针对高血压脑出血的治疗多以手术治疗为主，虽然能够获得良好的效果，但同时对护理方法的实施也提出了更高的要求[2]。以往临床上实施的常规护理仅能满足基本需求，但部分患者由于疾病及预后带来的躯体障碍及并发症等因素的影响，通常会产生不同方面的情绪方面的问题，常规护理无法将其进行有效的解决。为此，本次研究將循证护理干预应用于临床工作中，针对不同护理方法对高血压脑出血患者带来的影响进行分析，结果总结报告如下。, 百拇医药(陈春香 顾宇丹)