摘要
目的:探讨循证护理对白内障手术患者术中应激反应、负性情绪及护理质量的影响。方法:选择笔者所在医院眼科2017年7月-2018年3月50例白内障手术患者,随机均分为对照组(C组)和循证护理组(EBN组)。C组采用眼科手术的传统护理,EBN组给予循证护理。比较两组术前、术中15 min、术毕平均动脉压(MAP)、心率(HR),以及护理前后负性情绪(SAS评分、SDS评分),记录两组护理质量(服务态度、专业技术、语言沟通、健康教育)。结果:EBN组术中15 min、术毕MAP、HR低于C组,差异有统计学意义(P<0.05)。SAS评分、SDS评分比较,护理前,两组比较差异无统计学意义(P>0.05);护理后,EBN组低于C组,差异有统计学意义(P<0.05)。EBN组服务态度、专业技术、语言沟通、健康教育评分均高于C组,差异有统计学意义(P<0.05)。结论:循证护理显著降低白内障手术患者的术中应激反应,改善负性情绪,提高手术室护理质量。
Objective：To explore the effect of evidence-based nursing on stress reaction,negative emotion and nursing quality in patients undergoing cataract surgery.Method：A total of 50 patients with cataract surgery,selected from July 2017 to March 2018 in our hospital,were randomly divided into the control group（group C） and the evidence-based nursing group（group EBN）.Group C received the traditional nursing of ophthalmic surgery,and group EBN was given evidence-based nursing.The average arterial pressure（MAP）,heart rate（HR） before,at 15 min and after finished operation,and negative emotion（SAS scores,SDS scores） before and after nursing were compared in the two groups,and the nursing quality（service attitude,professional technique,language communication and health education） were recorded.Result：MAP and HR at 15 min and finished operation in group EBN were lower than those in group C（P〈0.05）.There were no significant difference in SAS scores and SDS scores in the two groups before nursing（P〈0.05）.After nursing,SAS scores and SDS scores in group EBN were lower than those in group C（P〈0.05）.The scores of service attitude,professional skills,language communication and health education in group EBN were higher than those in group C（P〈0.05）.Conclusion：Evidence-based nursing can significantly reduce intraoperative stress response,improve negative emotions and improve the nursing quality in patients undergoing cataract surgery.
作者
王静
王清如
韩丽靖
WANG Jing;WANG Qingru;HAN Lijing(Wuxi People＇s Hospital,Wuxi 214013,China)
出处
《中外医学研究》
2018年第25期65-68,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
白内障
循证护理
应激反应
负性情绪
护理质量
Cataract
Evidence-based nursing
Stress reaction
Negative emotion
Nursing quality
