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目的:探讨循证护理对重症肌无力危象、并发症及预后的影响。方法:选取笔者所在医院2014年12月-2016年12月收治的76例重症肌无力危象患者作为观察对象,并采用数字法随机分为观察组38例和对照组38例,给予对照组患者常规护理干预,给予观察组患者循证护理干预,对比分析两组护理干预的效果。结果:观察组患者呼吸道感染、泌尿系统感染及情感障碍发生率显著低于对照组,差异有统计学意义(P<0.05),同时观察组患者未出现患者死亡情况,而对照组出现2例(5.26%)患者死亡,差异有统计学意义(P<0.05)。结论:临床对重症肌无力危象患者进行护理时可采用循证护理干预,其能够有效降低并发症发生率,改善患者预后能力,具有较高的临床应用价值,值得推广。
Objective: To investigate the impact of evidence-based nursing care on the risk of myasthenia gravis, complications and prognosis. Methods: Seventy-six patients with myasthenia gravis crisis who were treated in the author’s hospital from December 2014 to December 2016 were selected and divided into observation group (38 cases) and control group (38 cases), and the control group Routine nursing interventions were given to evidence-based nursing interventions in observation group. The effects of nursing intervention were compared between the two groups. Results: The incidence of respiratory tract infection, urinary tract infection and affective disorder in the observation group was significantly lower than that in the control group (P <0.05). At the same time, there was no death in the observation group and 2 cases in the control group 5.26%) patients died, the difference was statistically significant (P <0.05). CONCLUSION: Evidence-based nursing intervention can be used in clinical management of patients with myasthenia gravis crisis. It can effectively reduce the incidence of complications and improve the prognosis of patients with high clinical value, which is worthy of promotion.