目的 探讨循证护理对结核性脑膜炎患者生活质量及并发症的影响.方法 选择河北省胸科医院2015年6月～2016年6月收治的70例结核性脑膜炎患者.按随机数字表法分为观察组与对照组,每组各35例.对照组采用常规护理,观察组采用循证护理.观察并比较两组患者依从性、生活质量、并发症及护理满意度.结果 观察组患者遵医嘱用药、定期复查、自我监测病情、合理饮食、规律作息、消毒隔离以及保持乐观情绪率高于对照组,差异有统计学意义(P＜0.05).观察组的生活质量各项指标评分高于对照组,差异有统计学意义(P＜0.05).观察组患者发生压疮、便秘、颅内压升高以及呼吸困难等并发症总发生率少于对照组,差异有统计学意义(P＜0.05).观察组总满意度高于对照组,差异有统计学意义(P＜0.05).结论 结核性脑膜炎患者采用循证护理干预可明显提高临床疗效,通过科学、有效的护理措施,增强患者在治疗中的依从性,减少并发症的发生,有利于提高患者的生活质量,获得良好预后,具有较高的临床应用价值.%Objective To observe the effect of the evidence-based nursing on the quality of life and complications of patients with tuberculous meningitis.Methods From June 2015 to June 2016,70 patients with tuberculous meningitis treated in Hebei Chest Hospital were selected.They were divided into observation group and control group according to random number table,with 35 cases in each group.The control group was received routine nursing,and the observation group was received evidence-based nursing for nursing intervention.The compliance and life quality of patients,complications and nursing satisfaction in the two groups were compared.Results The rates of compliance to medication,periodic review,conditions self-monitoring,balanced diet,regular work-and-rest time,disinfection and isolation and optimistic attitude in the observation group were higher than those in the control group (P ＜ 0.05).The score of life quality indexes in the observation group was higher than that in the control group,with statistically significant difference (P ＜ 0.05).Total incidence of complications,such as pressure sores,constipation,increased intracranial pressure and dyspnea in the observation group in the observation group was less than that in the control group,with statistically significant difference (P ＜ 0.05).The satisfaction to nursing in the observation group was higher than that in the control group,with statistically significant difference (P ＜ 0.05).Conclusion For patients with tuberculous meningitis,evidence-based nursing intervention can significantly improve the clinical efficacy,increase compliance to treatment,reduce the incidence of complications through scientific and effective nursing measure,which is beneficial to the life quality and prognosis of the patients.It is worthy of clinical application.
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