The value of evidence-based nursing in the rehabilitation nursing of ischemic stroke
循证护理在缺血性脑卒中康复护理中的价值

摘要

目的 分析缺血性脑卒中患者康复中采取循证护理体现的价值。方法 择取本院确诊医治的92例缺血性脑卒中患者，时段2022年11月至2023年11月。将全部病例均分2组，每组46例。对照组实施常规护理，观察组实施循证护理。评比2组患者神经功能、生活自理能力、生活质量及依从性变化。结果 相比对照组，干预后观察组美国国立卫生院神经功能缺损量表（NIHSS）评分显著下降，Barthel指数（BI）评分显著提高（P＜0.05）。相比对照组，干预后观察组健康调查简表（SF-36）评分显著提高（P＜0.05）。相比对照组，观察组总依从率显著提高（P＜0.05）。结论 缺血性脑卒中患者康复中采取循证护理有助于提高依从性，促进神经功能与生活自理能力改善，提高生活质量。

Abstract

Objective To analyze the value of evidence-based nursing in the rehabilitation of patients with ischemic stroke.
Methods 92 patients with ischemic stroke diagnosed and treated in our hospital from November 2022 to November 2023 were selected. All cases were divided equally into 2 groups, with 46 cases in each group. The control group received routine care, and the observation group received evidence-based care. The changes in neurological function, self-care ability, quality of life and compliance of patients in the 2 groups were evaluated.
Results Compared with the control group, the National Institutes of Health Neurological Impairment Scale (NIHSS) score of the observation group was significantly reduced and the Barthel Index (BI) score was significantly increased after the intervention (P<0.05). Compared with the control group, the health survey short form (SF-36) score of the observation group was significantly improved after the intervention (P<0.05). Compared with the control group, the total compliance rate of the observation group was significantly higher (P<0.05).
Conclusion   Adopting evidence-based nursing care during the rehabilitation of ischemic stroke patients can help improve compliance, promote improvement in neurological function and self-care ability, and improve quality of life.