摘要
目的 研究循证护理在动静脉内瘘术后伤口感染预防中的价值。方法 选择本院2021年3月-2022年3月纳入的动静脉内瘘术患者80例,按随机数字表法划分成两组各40例,研究组开展循证护理,对照组开展常规护理,评价两组护理前后的抑郁、焦虑自评量表(SDS、SAS)、生活质量(SF-36)、知识掌握程度,统计两组并发症(感染、血栓、出血)情况,测评两组满意度,比较两组护理结果。结果 护理前两组SDS、SAS无差异(P>0.05),护理后研究组评分均低于对照组(P<0.05)。研究组并发症5.00%低于对照组25.00%(P<0.05)。研究组满意度92.50%高出对照组70.00%(P<0.05)。护理前两组SF-36、知识掌握程度无差异(P>0.05);护理后研究组评分高出对照组(P<0.05)。结论 循证护理的效果显著,不仅能够消除患者负性情绪,同时减少伤口感染发生,患者满意度高,并提升生活质量。
Objective To study the clinical value of evidence-based nursing on the prevention of wound infections after the arteriovenous fistula.Methods 80 patients of undergoing the arteriovenous fistula from March 2021 to March 2022 in our hospital were selected.According to random number table,patients were divided into study group(n=40,evidence-based nursing)and control group(n=40,routine care).Nursing outcomes were appraised through the self-rating depression scale(SDS),selfrating anxiety scale(SAS),the MOS item short from health survey(SF-36)scores,knowledge mastery degree,surgical complications like infection,thrombus and bleeding,and patient’s satisfaction.Results Before care,SDS and SAS scores between groups were not significantly different(P>0.05);after care,SDS and SAS scores in the study group were lower than control group(P<0.05);the clinical complication rate in the study group(5.00%)was lower than control group(25.00%)(P<0.05);patient’s satisfaction in the study group(92.50%)was higher than control group(70.00%)(P<0.05);before care,SF-36 and knowledge mastery scores between groups were not significantly different(P>0.05);after care,relevant scores in the study group were higher than control group(P<0.05).Conclusion The evidence-based nursing can reduce the negative emotions and wound infections,and increase the patient’s satisfaction and life quality.
作者
张梦薇
ZHANG Mengwei(Dialysis Center,Jiexi People’s Hospital,Jieyang,Guangdong 515400)
出处
《智慧健康》
2023年第7期174-177,182,共5页
Smart Healthcare
关键词
伤口感染
循证护理
动静脉内瘘术
Wound infections
Evidence-based nursing
Arteriovenous fistula
