循证护理在婴幼儿先天性巨结肠并发症中的应用  

Evidence-based nursing in infants with congenital megacolon

作　　者：周叶青[1] 王慧聪[1] 何佳[1] 骆燕燕[1] 

机构地区：[1]浙江大学金华医院小儿外科,浙江省金华市321000

出　　处：《世界华人消化杂志》2014年第33期5184-5187,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨循证护理在婴幼儿先天性巨结肠并发症中的应用.方法:回顾性分析浙江大学金华医院2008-01/2013-12共50例先天性巨结肠患儿,按入院后护理干预方式不同,分为常规护理组与循证护理组,比较两组患儿护理效果.结果:循证护理组患儿共发生并发症3例,无1例出现多种并发症负荷;常规护理组共发生并发症61例,其中只出现1种并发症者6例,合并2种并发症者17例,合并3种并发症者7例(χ2=41.667,P=0.000).循证护理组患儿水电解质紊乱、营养不良、血流动力学不稳定发生率均显著低于常规护理组(P<0.05);循证护理组患儿住院时间及吻合口梗阻发生率显著低于常规护理组(P<0.05),两组患儿出院例数无显著差异(P<0.05).结论:循证护理有助于减轻先天性巨结肠患儿并发症的发生,对减少患儿住院时间有重要意义.AIM： To investigate the clinical significance of evidence-based nursing in infantile patients with congenital megacolon.METHODS： Fifty infantile patients with congenital megacolon hospitalized at our hospital from January 2008 to December 2013 were retrospectively analyzed. According to the measure of nursing intervention after admission, the patients were divided into either a conventional nursing group or an evidence-based nursing group. The nursing effects were compared between the two groups. RESULTS： Complications occurred only in 3 cases in the evidence-based nursing group, and none of them had multiple simultaneous complications. In contrast, complications occurred in 61 children in the conventional nursing group, of whom 6 developed onlyone complication, 17 had two concurrent complications, and 7 had three complications（χ2 =41.667, P = 0.000）. The incidences of water and electrolyte imbalance, malnutrition, and hemodynamic instability were significantly lower in the evidence-based nursing group than in the conventional nursing group（P 〈 0.05）.The length of hospital stay and the incidence of anastomotic obstruction were also significantly lower in the evidence-based nursing group than in the conventional nursing group（P 〈 0.05）. CONCLUSION： Evidence-based nursing may be helpful to reduce the incidence of complications and shorten the length of hospital stays in patients with congenital megacolon.

关 键 词：循证护理 婴幼儿 先天性巨结肠 并发症 

分 类 号：R473.72[医药卫生—护理学]