摘要
目的探讨循证护理在胃大部切除术患者中的应用效果。方法收集成都市第六人民医院2013年1月。2015年5月73例胃大部切除术患者临床资料，依据护理方式分为常规护理组（35例）和循证护理组（38例）。观察两组患者首次排气时间，肠鸣音恢复时间，静脉输注时间，术后住院时间，术后6、12、24hVAS评分，护理效果优良率，满意度和术后并发症发生率情况。结果循证护理组胃大部切除术患者首次排气时间、肠鸣音恢复时间、静脉输注时间、术后住院时间均短于常规护理组，差异均有统计学意义（t=10．09、10．60、11．64、15．19，P〈O．05）。循证护理组和常规护理组患者术后6hVAS评分差异无统计学意义（t=0．31，P〉0．05），循证护理组患者术后12、24hVAS评分均低于常规护理组，差异有统计学意义（t=3．89、4．79，P〈0．05）。循证护理组护理效果优良率（94．7％）高于常规护理组（71．4％），差异有统计学意义（χ2=19．28，P〈0．05）。循证护理组患者满意度（94．7％）和术后并发症发生率（5．3％）均优于常规护理组（71．4％、28．6％），差异均有统计学意义（χ2=19．28、19．28，P〈0．05）。结论循证护理在胃大部切除术患者中的应用可以明显提高手术治疗效果，降低术后疼痛、并发症发生率，提高患者满意度，值得临床推广应用。
Objective To explore the application effect of evidence-based nursing in patients underwent subtotal gas- trectomy. Methods Clinical data of 73 cases underwent subtotal gastreetomy in the Sixth People＇s Hospital of Chengdu City from January 2013 to May 2015 were selected. According to nursing way patients were divided into the routine nursing group （35 cases） and evidence-based nursing group （38 cases）. The first time of exhaust, bowel sound recovery time, intravenous infusion time, hospital stays after operation, 6, 12, 24 h VAS scores after operation, the excellent and good rate of nursing effect, satisfaction rate and incidence of complications of the two groups were observed. Results The first time of exhaust time, bowel sound recovery time, intravenous infusion time, hospital stays after operation of the evidence-based nursing group were shorter than those of the routine nursing group, with statistically significant differ- ences （t=10.09, 10.60, 11.64, 15.19, P 〈 0.05）. The 6 h VAS score after operation between the routine nursing group and evidence-based nursing group had no significant difference （t=0.31, P 〉 0.05）; the 12, 24 h VAS scores after oper- ation of evidence-based nursing group were lower than those of the routine nursing group （t=3.89, 4.79, P 〈 0.05）. The excellent and good rate of nursing effect in the evidence-based nursing group （94.7%） was higher than than in the rou- tine nursing group （71.4%）, with statistically significant difference （χ2=19.28, P 〈 0.05）. The satisfaction and incidence of complications in the evidence-based nursing group （94.7%, 5.3%） were better than those in the routine nursing group （71.4%, 28.6%）, with statistically significant differences （χ2=-19.28, 19.28, P 〈 0.05）. Conclusion Application of evidence- based nursing in patients underwent subtotal gastrectomy can significantly improve surgical treatment effect, reduce postoperative pain and incidence of complications, improve patients＇ satisfaction. It is worthy of clinical application.
出处
《中国医药导报》
CAS
2016年第4期178-180,F0003,共4页
China Medical Herald
关键词
循证护理
预防
胃大部切除
Evidence-based nursing
Prevention
Subtotal gastrectomy
