齐波等

[摘要] 目的 探讨中西医结合循证护理对中风患者生存质量的影响。 方法 将160例中风患者随机分成循证组和对照组，分别给予常规护理及中西医结合循证护理。 结果 循证组量表得分高于对照组（P<0.05）；循证组患者的SIS3.0总分及改良Barthel指数评分等均明显高于对照组（P<0.05）；两组患者记忆与思维等方面无明显差异（P>0.05）。 结论 中西医结合循证护理能显著提高患者的康复效果。

[关键词] 循证护理；中经络；脑卒中影响量表；改良Barthel指数评分

[中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701（2015）08-0137-04

[Abstract] Objective To investigate the effects of integrated traditional Chinese and western evidence based nursing in improving life quality in stroke patients. Methods The 160 stroke patients were randomly divided into evidence-based group and control group. Evidence based nursing was applied in the evidence-based group and routine nursing care of internal medicine taken in control group respectively. The Stroke Impact Scale 3.0 （SIS3.0） and modified Barthel index score were used to conduct a questionnaire survey on symptoms， curative effect and quality of life of the patients in both groups. Results Scale score of evidence-based group was higher than the control group （P<0.05）. The total SIS3.0 score and modified Barthel index score were significantly higher in the experimental group than the control group （P<0.05）； There was no difference in thinking and memory skills between the evidence-based group and control group （P>0.05）. Conclusion Integrated traditional and western evidence based nursing can significantly improve the quality of life in stroke patients.

[Key words] Evidence based nursing； Attack on meridians； Stroke impact scale； Modified Barthel index score

近年来，随着临床诊疗水平的不断提高，中风患者急性期死亡率有了大幅度下降[1]，而中风的总患病率和致残率却明显提高。循证护理通过科学规范的系统评价，从大量国内外文献资料中筛选出最佳的护理证据，提供给广大护理管理者和实践者，指导临床护理实践。循证护理可促进科学、有效的护理实践活动，有利于护理人员制定科学有效的临床护理决策，保证了中西医结合护理措施的质量。本研究旨在通过循证护理，筛选出最佳的护理证据，为中风病（中经络）患者的临床护理提供参考依据。循证护理（evidence based nursing，EBN），又称实证护理或求证护理，即护理人员在计划护理活动过程中，审慎地、明确地、明智地将科研结论与其临床经验及患者愿望相结合，获取证据，作为临床护理决策的依据的过程[2]。

1 资料与方法

1.1 文献纳入/排除标准

纳入标准：涉及中风早期应用中西医结合与神经科常规护理的文献。研究对象必须为中风患者，且符合《各类脑血管疾病诊断要点》的脑卒中诊断标准，或符合《中风病诊断与疗效评定标准（试行）》[3]的中风诊断标准。……