循证护理在混合性阴道感染患者健康教育中的应用  

Application of evidence-based nursing in health education for patients with mixed vaginal infections

作　　者：黄竹[1] 司景革 刘凤莲[1] 张先[1] 齐歆[1] 

机构地区：[1]首都医科大学附属北京妇产医院妇科微创中心,北京100006

出　　处：《现代临床护理》2014年第8期23-26,共4页Modern Clinical Nursing

基　　金：院级基金资助项目;项目编号为2013-07

摘　　要：目的探讨循证护理在门诊混合性阴道感染患者健康教育中的应用效果。方法将168例混合性阴道感染患者随机分为观察组和对照组,每组各84例。观察组依据循证护理方法,首先提出问题,根据问题进行文献查询,寻求证据,确定问题,再用实证结合临床实际,制订健康教育计划并实施;对照组按常规健康教育方法。比较两组患者1个月复诊时患者对疾病相关知识认知情况、两个月后治疗依从性情况及6个月混合性阴道感染复发率。结果 1个月复诊时两组患者对疾病相关知识认知情况比较,P<0.01,差异具有统计学意义,实验组患者知晓率明显高于对照组;两个月后两组患者卫生习惯、按疗程治疗、男方接受治疗及按时复诊行为情况比较,均P<0.05,差异具有统计学意义,实验组明显优于对照组;两组患者6个月混合性阴道感染复发率比较,P<0.01,差异具有统计学意义,实验组患者复发率明显低于对照组。结论运用循证护理方法对阴道感染患者进行健康教育,可以使护士明确健康教育方向,提高患者对相关知识的认知,提高治疗依从性,降低复发率。Objective To explore the applications effect of evidence-based nursing in the health education for patients with mixed vaginal infections.Methods One hundred and sixty-eight patients with mixed vaginal infection were divided into observation group（n=84） and control group（n=84）.Based on the evidence-based nursing method, the observation group first raised questions, then sought evidence to determine the conclusion according to the literature search, and finally combined with clinical evidence to formulate a reasonable plan for health education and effectively implemented.The control group was given conventional nursing.The two groups were compared in terms of rate of disease-related awareness in return visit 1 month after discharge, behavior 2 months after discharge and disease relapse 6 months after discharge.Results The rate of disease-related awareness and behavior in the experiment group were better than those of the control group significantly（all P〈0.05）.The rate of disease relapse of the experiment group was lower than that of the control group（P〈0.01）.ConclusionApplication of evidence-based nursing method for patients with vaginal infections in health education can guide the nurses＇ health education target, improve the patients＇ cognitive and behavior and reduce the rate of disease relapse.

关 键 词：混合性阴道感染 循证护理 健康教育 

分 类 号：R473.71[医药卫生—护理学]