循证护理在急性脑梗死患者中的综合效果观察(1)
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[摘要] 目的：探讨循证护理在急性脑梗死患者中的综合效果。方法：选取2008年1月~2010年12月于本院进行治疗的86例急性脑梗死患者为研究对象，将其随机分为对照组(常规护理组，43例)和观察组(循证护理组，43例)，统计并比较两组患者的住院时间、患者满意率、护理前和护理后1周的神经功能缺损评分、SCL-90评分。结果：观察组的患者满意率高于对照组，住院时间短于对照组，护理后1周的神经功能缺损评分和SCL-90评分均优于对照组，差异均有统计学意义(均P<0.05)。结论：循证护理在急性脑梗死患者中的综合效果较好，值得临床推广应用。
[关键词] 循证护理；常规护理；急性脑梗死；综合效果
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2011)11(c)-128-02
Observation on the competitive effects of evidence based nursing in acute cerebral infarction
XING Lihua
Department of ICU, the People's Hospital of Xinyi City, Jiangsu Province, Xinyi 221400, China
[Abstract] Objective: To study the competitive effects of evidence based nursing in acute cerebral infarction. Methods: 86 patients with acute cerebral infarction in our hospital from January 2008 to December 2010 were selected as research object, and they were randomly divided into control group (routine nursing group, 43 cases) and observation group (evidence based nursing group, 43 cases), then the patients' satisfaction rate, hospital stay, NIHSS score and SCL-90 score before and after the nursing at first week were analyzed and compared. Results: The patients' satisfaction rate of observation group was higher than that of control group, hospital stay was shorter than that of control group, NIHSS score and SCL-90 score after the nursing at first week were better than those of control group, there were significant differences between two groups (all P<0.05). Conclusion: The competitive effects of evidence based nursing in acute cerebral infarction is better, and it is worthy of clinical expansion and application.
[Key words] Evidence based nursing; Routine nursing; Acute cerebral infarction; Competitive effects
急性脑梗死是指局部脑组织因血液循环障碍，缺血、缺氧而发生的软化坏死，治疗应及时，否则预后较差。除治疗因素外，护理在急性期后的作用对于改善患者的综合治疗效果有非常重要的意义[1]。本文笔者就循证护理在急性脑梗死患者中的综合效果进行观察，现将结果总结报道如下：
1 资料与方法
1.1 一般资料
选取2008年1月~2010年12月于本院进行治疗的86例急性脑梗死患者为研究对象，将其随机分为对照组(常规护理组，43例)和观察组(循证护理组，43例)。其中，对照组43例患者中，男28例，女15例，年龄35～78岁，平均(62.9±5.1)岁，发病至就诊时间0.4～18.2 h，平均(7.9±1.8)h，其中，大面积脑梗死6例，中面积脑梗死18例，小面积脑梗死19例；观察组43例患者中，男29例，女14例，年龄35～77岁，平均(63.1±5.0)岁，发病至就诊时间0.5～17.8 h，平均(7.7±1.9)h，其中 ......
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