Evidence-based high altitude cerebral hemorrhage nursing.docVIP

 PAGE \* MERGEFORMAT 9 Evidence-based high altitude cerebral hemorrhage nursing [Keywords:] plateau, cerebral hemorrhage, evidence-based nursing Our hospital is located in the Qinghai-Tibet Plateau, elevation 3500m, altitude around 3500 ~ 4500m. Resident Tibetan residents mainly because of eating habits of local residents high-fat and high salt diet, resulting in hypertension and cerebral hemorrhage in the region become more morbidity and common diseases. With 21 clinical medicine to evidence-based medicine from the experience of transformation, our department began in April 2005 in patients with cerebral hemorrhage has taken evidence-based care. achieved good results, reported as follows. 1 Materials and Methods 1.1 General information on 36 cases of cerebral hemorrhage caught by the head CT scan confirmed that all cases were found in 1995 Chinese Medical Association 4th Conference on the revised disease diagnostic criteria. Which survived 30 cases, 7 died, 25 males, females 12 patients, aged 18 to 80 years, mean 46 years, moved to the plateau in 15 cases, 26 cases living in plateau, bleeding areas: the basal ganglia hemorrhage in 24 cases, 13 cases of pontine hemorrhage, blood loss: (formula multi Tins ) basal ganglia hematoma lt;30ml 18 例, 30 ~ 50 ml 7 cases of pontine hematomagt; 5ml 9 例, lt;5ml 4 cases. 1.2 nursing 1.2.1 Evaluation questions used to find patients of thinking problems to be solved. The main problem in these patients: (1) psychological problems. Such as sudden onset, severe illness, required absolute bed rest, ECG monitoring, frequent examination and treatment , resulting in emotional irritability, high blood pressure can make, easy to re-bleeding, (2) stool, coughing, sneezing caused by rebleeding excessive force, (3) the head frequently get out of bed early swing and, (4) more problems which the greatest impact on patients, which is the primary problem, (5) What key observation condition. 1.2.2 retrieve relevant docume