循证护理在治疗神经根型颈椎病患者护理中的效果分析

张晶

[摘要] 目的 分析研究循证护理在治疗神经根型颈椎病患者护理中的效果。方法 该次研究对象方便选自该院2018年1月—2019年1月期间收治的神经根型颈椎病患者，共计68例，按照数字表法对其进行平均分组：分别是参照组34例和研究组34例。其中治疗期间给予传统常规护理的为参照组，给予循证护理的为研究组，比较两组的护理成效、患者对疾病的认知能力。结果 在护理总有效率的比较上，研究组（97.06%）显著高于参照组（79.41%），差异有统计学意义（χ2=5.100，P=0.024）;在患者对疾病的认知能力的比较上，研究组显著优于参照组，差异有统计学意义（P<0.05）。结论 在治疗神经根型颈椎病患者的护理过程中应用循证护理，能够促使患者对疾病产生更加准确的正性认知，促使其认知能力显著提升，而相应的治疗效果也会随之得到进一步优化。

[关键词] 循证护理;神经根型颈椎病;护理成效;认知能力

[Abstract] Objective To analyze the effect of evidence-based nursing in the treatment of patients with cervical spondylotic radiculopathy. Methods The subjects of this study were convenient selected from patients with cervical spondylotic radiculopathy treated in the hospital from January 2018 to January 2019. A total of 68 patients were divided into two groups according to the numerical table method： 34 cases in the reference group and study group of 34 patients. Among them， those who were given traditional routine nursing care during the treatment period were the reference group， and those who were given evidence-based nursing care were the research group. The nursing effectiveness and patients' cognitive ability of the two groups were compared. Results In comparison of the total effective rate of nursing， the study group （97.06%） was significantly higher than the reference group （79.41%）， and the difference was statistically significant（χ2=5.100， P=0.024）; in the patients' awareness of the disease in terms of ability comparison， the study group was significantly better than the reference group， and the difference was statistically significant（P<0.05）. Conclusion The application of evidence-based nursing in the treatment of patients with cervical spondylotic radiculopathy can promote patients to have a more accurate positive cognition of the disease， promote their cognitive ability to be significantly improved， and the corresponding treatment effect will be obtained accordingly.

[Key words] Evidence-based nursing; Nerve root cervical spondylosis; Nursing effectiveness; Cognitive ability

目前，因生活及辦公方式的转变，长时间伏案人群日渐增多，往往会因外感湿邪风寒的侵袭而导致诱发颈椎病。据相关统计资料显示[1]，近年来，颈椎病的患病率出现了逐年上涨的趋势，并且日趋年轻化。颈椎病又被称之为颈椎综合征，是颈椎骨关节炎、颈神经根综合征、增生性颈椎炎以及颈椎间盘脱出症的总称。在众多颈椎病类型中，神经根型是其中最为常见的一种，占比在50%以上[2]。肩、颈及上肢麻木、疼痛为神经根型颈椎病的突出临床表现，临床常规治疗方案主要包括理疗、推拿、牵引、药物治疗以及针灸等。而在患者治疗过程中予以对应的护理干预措施加以辅助治疗，方可收获最佳的治疗效果。有研究表明[3]，在科学治疗的同时予以患者循证护理干预，往往能够收获更为理想的治疗效果，循证护理的思想核心是通过对现有最佳科学依据的应用，为患者提供更加优质的护理服务，而如何将循证护理更好地应用到对神经根型颈椎病患者的护理中，是临床护理工作的重点研究内容。……