循证护理对高血压脑梗死预后的影响

发布时间：2018-07-08 07:45

本文选题：循证护理 + 高血压　；参考：《右江民族医学院学报》2017年01期

【摘要】：目的探讨循证护理对高血压脑梗死患者预后的影响。方法将92例高血压并发脑梗死患者随机分为实验组和对照组各46例,对照组患者施行高血压脑梗死常规护理,实验组从健康教育、饮食生活习惯、服药依从性、心理、自我管理实施方面循证护理,并进行出院后3个月、6个月、12个月、24个月电话或微信定期随访,比较两组患者出院两年的生活方式、血压、血糖、血脂、体重、心脑血管病意外事件的差异。结果实验组在出院后两年的血压、生活方式、血糖、血脂、体重、心脑血管病意外事件的控制方面优于对照组,经比较差异均具有统计学意义(P0.05、P0.01或P0.001)。结论循证护理对高血压脑梗死患者的预后有重要影响作用,可以改变不良饮食及生活方式,规范正确指导患者服药并提高服药依从性,有效控制患者的高血压,改善患者预后及生活质量,定期随访可以为出院后的血压、血脂、血糖管理长期达标打下基础,预防并减少脑卒中复发。
[Abstract]:Objective to investigate the effect of evidence-based nursing on the prognosis of patients with hypertensive cerebral infarction. Methods 92 cases of hypertension complicated with cerebral infarction were randomly divided into experimental group and control group, 46 cases in the experimental group and the control group. The control group performed routine nursing care of hypertensive cerebral infarction. The experimental group was based on health education, diet habits, medication compliance, psychology and self-management implementation. After 3 months, 6 months, 12 months, 12 months, 24 months of telephone or WeChat regular follow-up, the difference between the two years of life style, blood pressure, blood sugar, blood lipid, body weight, cardiovascular and cerebrovascular accident were compared between the two groups. Results the blood pressure, lifestyle, blood sugar, blood lipid, weight, cardiovascular and cerebrovascular accident after discharge were two years after discharge. The control of events is better than that of the control group, and the difference is statistically significant (P0.05, P0.01 or P0.001). Conclusion evidence-based nursing has an important influence on the prognosis of patients with hypertensive cerebral infarction, which can change the unhealthy diet and lifestyle, guide the patients to take the medicine correctly and improve the compliance of the medicine, and effectively control the high blood of the patients. Pressure, improve the patient's prognosis and quality of life. Regular follow-up can lay the foundation for the long-term standard of blood pressure, blood lipid and blood glucose management after discharge, and prevent and reduce the recurrence of stroke.
【作者单位】：广西柳州市工人医院广西医科大学第四附属医院神经内科;
【分类号】：R473;R-03

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