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Effect of evidence-based nursing on life quality and complications of patients with tuberculous meningitis |
GAO Jiangyan1 REN Guangpan1▲ ZHANG Xiaoguang2 LI Dexin1 CAO Hongtao1 |
1.Department of Cardiology, Hebei Chest Hospital, Hebei Province, Shijiazhuang 050041, China;
2.Department of Nephrology, Hebei Chest Hospital, Hebei Province, Shijiazhuang 050041, China |
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Abstract 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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[1] 董晓娟,石海萍.经外周中心静脉导管在结核性脑膜炎患者中的并发症影响因素及护理对策[J].中国煤炭工业医学杂志,2016,19(4):603-606.
[2] 赵跃,卜晖,邹月丽,等.结核性脑膜炎的免疫应答及基因多态性研究进展[J].中华神经科杂志,2016,49(3):260-264.
[3] 杨红,杨建蓉,陈碧桃,等.干扰素诱导蛋白10在结核性脑膜炎诊断中的应用[J].西部医学,2015,27(4):531-533.
[4] 张晓蓉,樊安芝.阶梯式护理在结核性脑膜炎病区的应用[J].检验医学与临床,2015,12(7):1000-1002.
[5] 乔艳,宋卫芹,徐从翠,等.扁平化责任制护理在结核性脑膜炎治疗中的效果分析[J].蚌埠医学院学报,2015,40(3):400-402.
[6] Figaji AA,Fieggen AG. The neurosurgical and acute care management of tuberculous meningitis:evidence and current practice [J].Tuberculosis(Edinb),2010,90(6):393-400.
[7] 任斐,李冬,周倩倩,等.影响儿童结核性脑膜炎患者近期预后的相关因素分析[J].中国防痨杂志,2014,36(11):930-935.
[8] 李桂霞.磁共振成像联合脑脊液分析在中枢神经系统感染鉴别诊断中的价值[J].临床和实验医学杂志,2016,15(9):910-913.
[9] 谈春芳,彭胜利,罗琼.儿童结核性脑膜炎的临床症状观察与护理[J].临床肺科杂志,2012,17(5):969-970.
[10] 高书媛,吴元蓉.皮下隧道式腰大池外引流治疗结核性脑膜炎的护理[J].护士进修杂志,2014,29(4):369-370.
[11] 李亚妹,王亮,栗爱珍,等.压疮评估的临床护理路径在结核性脑膜炎患者护理中的应用[J].河北中医,2013, 35(6):933-934.
[12] 何红彦,邵艳新,殷智晔,等.结核性脑膜炎临床特点观察与治疗分析[J].河北医科大学学报,2015,36(8): 878-880.
[13] 谢辉,李静梅,何钰婕.结核性脑膜炎患者预后的相关因素分析[J].中国医药导报,2013,10(22):61-63.
[14] 李爽,刘丽,丁云兰.腰穿放脑脊液并鞘内注药治疗重症结核性脑膜炎的护理体会[J].安徽医学,2013,34(2):220-221.
[15] 龚思引,罗海彦,吴禹.结核性脑膜炎预后预测因素分析[J].中国热带医学,2016,16(3):269-272.
[16] 黄蓓,黄亚菊.协同护理对结核性脑膜炎患者临床效果和生活质量的影响[J].检验医学与临床,2016,13(14):1938-1940.
[17] 余泽婷.影响结核性脑膜炎患儿预后相关因素分析及护理[J].实用临床医药杂志,2016,20(6):193-194.
[18] 孙叶飞,张敬浩.循证护理模式在结直肠癌患者腹腔镜根治术围术期中的应用[J].中国医科大学学报,2016, 45(10):936-938.
[19] 董虹,李桂林,孔虹.结核性脑膜炎患者社会支持与生活质量相关性的研究[J].中国医药导刊,2013,15(5):894-896.
[20] 王新宏,任联盟,白广红,等.腰大池置管连续给药治疗结核性脑膜炎疗效及安全性分析[J].西南国防医药,2016,26(2):142-145. |
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