【摘要】 目的 探讨循证护理在脑卒中创伤后应激障碍(PTSD)患者中的应用效果。方法 将261例脑卒中患者随机分为对照组130例和观察组131例,对照组采用常规治疗与护理,观察组在此基础上采用循证护理,比较两组护理效果。结果 脑卒中后6个月内出现PTSD症状的患者对照组44例、观察组42例。护理后,观察组抑郁、焦虑症状改善率高于对照组(P<0.05),睡眠质量改善率高于对照组(P<0.01),服药依从性优于对照组(P<0.05),脑卒中一年内复发率低于对照组(P<0.05)。结论 循证护理能够有效改善脑卒中后PTSD患者的抑郁、焦虑及睡眠障碍症状,提高患者服药依从性,促进脑卒中二级预防并降低脑卒中复发率。更多还原

【Abstract】 Objective To explore the effects of evidence-based nursing model on patients with posttraumatic stress disorder(PTSD) after stroke. Methods A total of 261 patients with stroke were randomly divided into control group(130 cases) and observation group(131 cases). The patients in the control group were given routine nursing care, and the patients in the observation group were provided evidence-based nursing except routine nursing. The effects of nursing were compared between the two groups. Results After stroke, 44 cases in the control group and 42 cases in the observation group developed PTSD within 6 monthes. Compared with the control group, the improvement rate of depression and anxiety was significantly higher(P < 0.05); the improvement rate of sleep quality in the observation group was significantly higher(P < 0.01); the medication adherence in the observation group was better(P < 0.05); and the recurrence rate of stroke within one year in the observation group was significantly lower(P < 0.05). Conclusions Evidence-based nursing model can effectively improve depression, anxiety, the sleep disorder, the medication adherence and reduce the recurrence rate of stroke in post-stroke PTSD patients.更多还原