循证护理在房颤并发脑栓塞患者中护理效果分析.docVIP

循证护理在房颤并发脑栓塞患者中护理效果分析 　　【摘要】 目的 对循证护理在心房颤动（房颤）并发脑栓塞患者中的护理效果进行研究。方法 82例房颤并发脑栓塞患者， 随机分为研究组和对照组， 各41例。对照组患者应用常规护理方法， 研究组患者应用循证护理方法， 比较两组护理效果。结果 护理前， 两组患者的焦虑评分、抑郁评分比较差异无统计学意义（P0.05）。护理后， 研究组患者的焦虑评分（42.12±3.09）分、抑郁评分（40.35±3.10）分均低于对照组的（50.57±3.11）分、（50.22±3.34）分， 差异具有统计学意义（P0.05）。研究组患者的Fugl-Mever评分（68.44±7.63）分、Barthel指数评分（69.22±8.41）分高于对照组的（47.31±3.22）、（49.86±4.59）分， 差异具有统计学意义（P0.05）。结论 循证护理在房颤并发脑栓塞患者中的护理效果较理想， 应用价值高， 应推荐应用。 　　【关键词】 循证护理；心房颤动；脑栓塞 　　DOI：10.14163/j.cnki.11-5547/r.2018.05.078 　　【Abstract】 Objective To study the nursing effect of evidence-based nursing in patients with atrial fibrillation complicated with cerebral embolism. Methods A total of 82 patients with atrial fibrillation complicated with cerebral embolism were randomly divided into research group and control group， with 41 cases in each group. The control group received conventional nursing， and the research group received evidence-based nursing. The nursing effect in two groups was compared. Results Before nursing， both groups had no statistically significant difference in anxiety score and depression score （P0.05）. After nursing， the research group had anxiety score as （42.12±3.09） points， and depression score as （40.35±3.10） points， which were all lower than （50.57±3.11） and （50.22±3.34） points in the control group. Their difference was statistically significant （P0.05）. The research group had higher Fugl-Mever score as （68.44±7.63） points and Barthel index score as （69.22±8.41） points than （47.31±3.22） and （49.86±4.59） points than the control group， and their difference was statistically significant （P0.05）. Conclusion Evidence-based nursing shows ideal nursing effect in patients with atrial fibrillation complicated with cerebral embolism and high application value， and should be recommended for application. 　　【Key words】 Evidence-based nursing； Atrial fibrillation； Cerebral embolism 　　房?是常见病， 该病患者发生房颤后， 会降低心房收缩性， 导致血液瘀滞， 容易形成血栓， 血栓脱落后会导致脑血管堵塞， 从而引起脑栓塞[1]。房颤并发脑栓塞病情进展快， 病情严重时会出现抽搐、休克， 死亡风