摘要
目的 探讨循证护理在冠状动脉内支架术后并发股动脉出血病人中的应用。方法 通过 分析17例重度股动脉出血病人自身具有的出血危险因素,发生出血的原因、出血时间、出血量、生命体 征的变化,和发现出血的方式,提出急需解决的健康问题:(1)出血发生与哪些因素有关;(2)如何更有效 的预防和控制出血;(3)如何做好病人及家属的术前健康教育。结果 发现从2002年7月～2003年12 月,实施循证护理后,冠状动脉内支架术186例,并发重度股动脉出血5例(占2.69%);与2001年1 月～2002年6月开展循证护理前,冠状动脉内支架术164例,并发重度股动脉出血12例(占7.31%)比 较,有显著性差异,χ2=3.99,P<0.05。结论 循证护理作为一种理想的实践活动,能最大限度地满足 病人及家属的需求,使有限的医疗保健资源发挥最大的价值。
Objective To probe the application of evidence--based nursing in patients with subsequent femoral artery hemorrhage, who undergo intracoronary stenting placement. Methods The risk factors, the cause, time and quantity of hemorrhage, the changing of vital signs, the way of finding hemorrhage, were analyzed in 17 cases of patients with serious femoral artery hemorrhage. The urgent need solved health questions were as follows： （1） Which factors are associated with the occurrence of femoral artery hemorrhage？ （2） How to prevent and control femoral artery hemorrhage effectively？ （3） How to do health education of patients and their relations？ Results From July 2002 to December 2003, after evidence- based nursing, there were 5 cases patients with serious femoral artery hemorrhage in 186 patients underwent intracoronary stenting placement operation, the rate was 2.69%. But before evidence--based nursing, from January 2001 to June 2002, there were 12 cases patients with serious femoral artery hemorrhage in 164 patients underwent intracoronary stenting placement operation, the rate was 7.31%. The difference was significant, X^2 = 3.99, P 〈 0.05. Conclusions Evidence-based nursing is an ideal practice, can match the needs of patients and their relations farthest, and make medical healthcare show maximal value.
出处
《现代护理》
2005年第3期219-220,共2页
Modern Nursing
关键词
循证护理
冠状动脉支架
股动脉出血
护理
应用
Evidence-based nursing Intracoronary stenting Femoral artery hemorrhage Nursing Application
