循证护理在肺癌患者介入治疗术后康复过程中的对照研究  

Control study on the effect of evidence-based nursing in the process of recovery after the surgery of interventional therapy in patients with lung cancer

作　　者：刘丹[1] 黄东[1] 陈艳[1] 高琼[1] 

机构地区：[1]湖北医药学院附属太和医院呼吸内科,湖北十堰442000

出　　处：《中国医药导报》2013年第36期124-129,共6页China Medical Herald

摘　　要：目的探讨循证护理在肺癌患者介入治疗术后康复过程中的应用效果。方法纳入2010年1月～2013年5月湖北医药学院附属太和医院呼吸内科收治的肺癌患者,共48例,将其随机均分为常规护理组(采用常规护理模式)和循证护理组(采用循证护理模式)。循证护理组就术后皮下血肿、动脉血栓、肾功能损害、生活质量、精神状态等方面进行循证护理。比较两组护理效果。结果术后1周时,与常规护理组相比,循证护理组皮下血肿发生率较低(4.16%比25.00%,P<0.05),动脉血栓发生率较低(0.00%比12.50%,P<0.05),血肌酐含量明显降低[(145.32±48.10)μmol/L比(196.11±57.43)μmol/L,P<0.05),生活质量评分较高(均P<0.05),汉密尔顿焦虑量表评分显著降低[(8.72±1.12)分比(14.69±3.39)分,P<0.05],住院患者疾病不确定感量表评分显著降低[(62.58±6.42)分比(71.29±9.12)分,P<0.05],护理满意度显著提升(91.67%比66.67%,P<0.05)。结论肺癌患者介入治疗术后康复过程中,采用循证护理模式进行护理,可显著降低并发症发生率,改善患者的精神状态和生活质量,提升疗效,从而改善护理满意度,值得临床推广。Objective To study the effect of evidence-based nursing in the process of recovery after the surgery of interventional therapy in patients with lung cancer. Methods 48 patients who were admitted to Department of Respiratory,the Affiliated Taihe Hospital of Hubei Medical College from January 2010 to May 2013 were randomly divided into the general nursing group（model of general nursing） and evidence-based nursing group（model of evidence based nursing）. The ecchymoma,arterial thrombosis,impairment of renal function,life quality and mental status after surgery were given evidence based nursing. The nursing effects of the two groups were evaluated. Results At the time of one week after surgery,compared to the general nursing group,for the evidence based nursing group,its incidence rate of ecchymoma significantly decreased（4.16% vs 25.00%,P 0.05）,its incidence rate of arterial thrombosis significantly decreased（0.00% vs 12.50%,P 0.05）,the degree of serum creatinine significantly decreased [（145.32±48.10） μmol/L vs（196.11±57.43） μmol/L,P 0.05）,its life quality scores significantly increased（all P〈 0.05）,its score of Hamilton anxiety scale significantly decreased [（8.72±1.12） points vs（14.69±3.39） points,P〈 0.05）,its score of uncertainty in illness scale significantly decreased [（62.58±6.42） scores vs（71.29±9.12） scores,P 〈0.05）,its degree of nursing satisfaction significantly improved（91.67% vs 66.67%,P〈 0.05）. Conclusion During the recovery process of lung cancer patients after the surgery of interventional therapy,the model of evidence-based nursing can significantly decrease the incidence of complications,improve the mental status and life quality of patients,improve the level of therapy and the degree of nursing satisfaction,which should be applied in clinic.

关 键 词：循证护理 肺癌患者 介入治疗 术后康复 

分 类 号：R473.5[医药卫生—护理学]