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探讨循证护理在老年卒中后失禁性皮炎中的应用效果,本研究对96例脑卒中并发失禁相关性皮炎(IAD)患者进行随机分组。B组进行专科性常规护理,A组在专科护理基础上,运用循证思维方法对康复训练、心理护理与IAD的发生发展关系进行实证,制定科学的护理对策并进行实施。结果显示,A和B组治疗后的IAD严重度评估量表(IADS)评分分别为(4.75±0.27)分和(5.17±0.33)分,均较治疗前降低(均P<0.01);护理1个月后A组IADS评分下降程度高于B组(P<0.01);1个月护理后A组和B组健康状况调查问卷(SF-36)中情感职能(RE)、生理功能(PF)、精神健康(MH)、总体健康(GH)评分分别为(46.12±7.18)分和(42.75±8.07)分,(55.12±10.06)分和(51.07±9.25)分,(54.00±5.57)分和(51.10±6.97)分,(42.01±12.08)分和(37.04±8.33)分,A组均高于B组(均P<0.05)。循证护理应用于老年脑卒中后失禁性皮炎中,能为护理提供科学指导,提高患者生活质量。
To explore the application of evidence-based nursing in the treatment of senile post-stroke incontinence dermatitis. In this study, 96 patients with stroke-associated incontinence-associated dermatitis (IAD) were randomized. Group B received specialist routine nursing. Group A, based on specialist nursing, used evidence-based thinking methods to test the relationship between rehabilitation training, psychological nursing and the occurrence and development of IAD, and formulated scientific nursing measures and implemented them. The results showed that the IADS scores in group A and group B were (4.75 ± 0.27) and (5.17 ± 0.33) points lower than those before treatment (all P0.01) The IADS scores in group A decreased more significantly than those in group B after one month (P <0.01). The emotional functions (RE) and physiological functions (PF) in group A and group B after one month’s nursing were lower than those in group B (46.12 ± 7.18) and (42.75 ± 8.07) points, (55.12 ± 10.06) points and (51.07 ± 9.25) points and (54.00 ± 5.57) points respectively for mental health (MH) and total health (51.10 ± 6.97) points, (42.01 ± 12.08) points and (37.04 ± 8.33) points respectively. All the patients in group A were higher than those in group B (all P <0.05). Evidence-based care for senile post-stroke incontinence dermatitis, can provide scientific guidance for nursing, improve patient quality of life.