循证护理路径联合正念疗法护理高血压合并脑梗死患者的实效性研究OA

Objective:To explore the effectiveness of evidence-based nursing pathway combined with mindfulness therapy in the nursing of patients with hypertension complicated with cerebral infarction.Methods:A total of 100 patients with hypertension complicated with cerebral infarction admitted to the Inner Mongolia Autonomous Region People's Hospital from May 2023 to May 2024 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 50 cases in each group.The control group received traditional nursing,and the observation group received evidence-based nursing combined with mindfulness therapy.Both groups were nursed for 1 month.Blood pressure related indexes,nerve function,negative emotion and quality of life were compared between the two groups.Results:After nursing,diastolic blood pressure and systolic blood pressure in two groups were lower than before nursing,and observation group was lower than control group,the differences were statistically significant(P<0.05).The time of reaching blood pressure standard in two groups was shorter than that in control group,the differences were statistically significant(P<0.05).After 2 weeks of nursing,the National Institutes of Health Stroke Scale(NIHSS)scores of both groups were lower than before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After 1 month of nursing,the NIHSS score of both groups was lower than that after 2 weeks of nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).After nursing,the scores of the Hamilton Anxiety scale and Hamilton Depression scale of both group were lower than before nursing,and the observation group were lower than the control group,the scores of five dimensions,namely physiological function,physiological role,general health,social function and emotional role,were selected from the MOS Item Short Form Health Survey in both groups were higher than before nursing,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:In the nursing of patients with hypertension complicated with cerebral infarction,evidence-based nursing pathway combined with mindfulness therapy can effectively reduce their blood pressure level,shorten the time of blood pressure compliance,improve nerve function,alleviate negative emotions,and improve the quality of life.