循证护理在先天性心脏病修补术围手术期的应用  

The Application of Evidence-Based Nursing in Perioperative Period of Repair Surgery of Congenital Heart Disease

作　　者：廖平[1] 金素[1] 詹会智[1] 罗良琴[1] 阳亚男[1] 

机构地区：[1]泸州医学院附属医院胸心外科,四川泸州646000

出　　处：《西南军医》2015年第3期267-269,共3页Journal of Military Surgeon in Southwest China

摘　　要：目的分析循证护理在先天性心脏病修补术围手术期的应用效果。方法对2010年6月-2014年1月我院行心脏修补术的130例先天性心脏病患儿随机分为对照组和观察组各65例。对照组采用常规护理,观察组则根据循证医学模式进行循证护理。比较两组间手术效果、住院时间差异及并发症发生率差异。结果观察组患者治愈率显著高于对照组,住院时间显著短于对照组,心功能等级为Ⅰ级的病例数亦显著高于对照组（P〈0.05）。观察组总并发症发生率为24.62%,低于对照组的69.23%,观察组肺动脉高压、心律失常、血栓形成等并发症的发生率显著低于对照组（P〈0.05）。结论在先天性心脏病修补术围手术期应用循证护理能有效降低并发症的发生率并提高手术的成功率。Objective To explore the application effect of evidence-based nursing in perioperative period of repair surgery of congenital heart disease. Methods 130 children with congenital heart disease receiving repair surgery during the period from June, 2010 to Jan., 2014 were randomly divided into 2 groups： observation group and control group, 65 cases in each; evidence-based nursing was performed to cases in observation group while routine nursing to cases in control group; the effect of surgery, the time length of hospitalization and the occurrence of complication in the 2 groups were comparatively studied. Results The cure rate in observation group was much higher than that in control group; the time of hospitalization in observation group was shorter than that in control group; the case number of cardiac function grade Level I in observation group was bigger than that in control group （P〈0.05）; the total occurrence of complications in observation group was 24.62%, much lower than that in control group （69.23%）; the occurrence of pulmonary hypertension, arrhythmia, thrombosis and other complications in observation group was much lower than that in control group （P〈0.05）. Conclusions The application of evidence-based nursing in perioperativc period of repair surgery of congenital heart disease can effectively decrease the occurrence of complications and raise the success rate of the surgery.

关 键 词：先天性心脏病 修补术 循证护理 

分 类 号：R473.6[医药卫生—护理学]