| 吴佩红,任学芳.循证护理对烟雾病联合血管重建术后并发症及生活质量的影响[J].上海护理,2020,20(7): |
| 循证护理对烟雾病联合血管重建术后并发症及生活质量的影响 |
| Effects of evidence-based nursing on complications and quality of life in patients with moyamoya disease after combined revascularizationSoperation/Wu Peihong,Ren Xuefang,Xu Yan,Wang Yi |
| DOI： |
| 中文关键词: 循证护理 烟雾病 联合血管重建术 术后并发症 生活质量 |
| 英文关键词: |
| 基金项目:上海市卫生和计划生育委员会面上项目,201840108；复旦大学临床医学与护理学双一流建设经费，2018-22-40 |
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| 中文摘要: |
| 目的 探讨循证护理实践对烟雾病联合血管重建术后患者并发症及生活质量的影响。方法 将2018年1月—2019年1月于复旦大学附属华山医院神经外科因烟雾病接受联合血管重建术的90例患者随机分为观察组（n=45）和对照组（n=45）。对照组进行常规术后护理,观察组在此基础上根据循证护理PICO原则提出循证护理问题、检索循证支持证据、建立循证护理实践方案并实施。观察两组患者术后1周内继发性颅内出血、脑缺血性发作、癫痫、谵妄等并发症发生情况；并比较两组患者出院后3个月的生活质量。结果 观察组术后并发症发生总体发生率少于对照组(P<0. 05)，且出院后3个月的生活质量优于对照组(P<0.05)。结论 循证护理实践干预有效减少了烟雾病联合血管重建术患者术后并发症的发生率，有利于促进患者术后生活质量提高。 |
| 英文摘要: |
| Objective To investigate the effect of evidence-based nursing practice on postoperative complications and quality of life of patients with moyamoya disease combined with vascular reconstruction.Methods 90 patients with moyamoya disease after combined revascularizationSoperation were enrolled in the study and randomly divided into the experimental group and the control group.The control group received routine postoperative care.On the basis of routine postoperative care, the experimental group proposed evidence-based nursing problems according to the principle of evidence-based nursing PICO, provided evidence-based support, established evidence-based nursing practice plan and implemented.Postoperative complications (e.g., secondary intracranial hemorrhage；Ischemic brain attack；Seizures；Postoperative delirium) were observed in the two groups.The postoperative complication and quality of life afterSbeing discharged for three months which assessed by SF-36Sscale were compared betweenStheStwoSgroups.Results After evidence-based nursing intervention, postoperative complications in the experimental group were less than those in the control group (P< 0.05).3 months after discharge, the quality of life was significantly better than that of the control group (P<0.05).Conclusion For patients with moyamoya disease after combined revascularizationSoperation,applicating evidence-based nursing practice can relieve theSincidenceSofSpostoperativeScomplications,promote patient recovery and improve postoperative quality of life obviously. |
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