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目的 探究循证护理模式对蛛网膜下腔出血早期脑损伤患者负性情绪及生存质量的影响。方法 蛛网膜下腔出血早期脑损伤患者66例,依据随机数字表法分为两组,各33例。对照组予以常规护理,观察组在此基础上予以循证护理模式。随访3个月,对比两组护理前后负性情绪及生存质量变化情况。通过汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评价负性情绪;生存质量综合评定问卷(GQLI/74)评估生存质量。结果 护理前两组焦虑、抑郁、生存质量评分比较,P均>0.05;与对照组比较,观察组护理后HAMD、HAMA评分降低,差异有统计学意义(P均<0.05)。与对照组比较,观察组护理后GQLI/74评分较高,差异有统计学意义(P<0.05)。结论 循证护理模式应用于蛛网膜下腔出血早期脑损伤患者中,可有效缓解患者负性情绪,改善生存质量。
Objective To explore the influence of evidence-based nursing on negative emotions and quality of life in patients with early brain injury caused by subarachnoid hemorrhage. Methods 66 cases of early brain injury patients with subarachnoid hemorrhage were divided into two groups according to random number table method, 33 cases in each group. The control group was given routine care, and the observation group was given evidence-based nursing mode on this basis. After 3 months of follow-up, the changes of negative emotions and quality of life before and after treatment were compared between the two groups. Negative emotions were evaluated by Hamilton Depression Rating Scale (HAMD) and Hamilton Anxiety Scale (HAMA); Quality of Life Questionnaire (GQLI / 74) was used to assess the quality of life. Results Compared with the control group, the scores of HAMD and HAMA in the observation group were significantly lower than those in the control group (P <0.05). Compared with the control group, the GQLI / 74 score of the observation group after nursing was higher, the difference was statistically significant (P <0.05). Conclusion Evidence-based nursing model applied to patients with early brain injury in subarachnoid hemorrhage can effectively alleviate the negative emotions of patients and improve the quality of life.