循证护理应用于手术室患者对其负性情绪及并发症的影响  

Application of evidence- based nursing in operation room patients influence on negative emotion and complications

作　　者：秦雪芳[1] 顾君芳 韩静红[1] 高帆[1] 朱天婵[1] 

机构地区：[1]南京医科大学附属无锡市人民医院手术室,南京214023

出　　处：《国际精神病学杂志》2015年第4期89-92,共4页Journal Of International Psychiatry

摘　　要：目的探究手术室患者引入循证护理干预对其焦虑情绪及并发症的影响,并为手术室优质护理积累循证经验。方法选取我院于2013年2月~2014年2月收治的88例行手术治疗患者,利用随机数字表法进行分组,分别设为研究组和对照组,每组各44例。其中对照组开展常规围手术期护理,研究组则在对照组基础上引入循证护理干预。记录两组患者在不同时间段的SAS及VAS评分,并比较两组患者切口感染发生率。结果研究组在手术前2h及术后第1d的SAS和SDS评分均低于对照组（P〈0.05）。术后第1d,研究组疼痛程度评分低于对照组（P〈0.05）。研究组出现切口感染率为4.5%（2/44）,低于对照组的11.4%（5/44）,差异有统计学意义（P〈0.05）。结论循证护理模式应用于手术室患者,能降低其焦虑情绪及疼痛程度,且能降低切口感染发生率,取得较为可观的临床成效。Objective To explore the influence of evidence-based nursing intervention on the anxiety and complications of patients in the operation room. Methods 88 patients from February 2013 ~ February 2014, using the method of random digits, were divided into study group and control group, 44 cases in each group. The control group was carried out routine perioperative nursing, while the study group was carried out evidence-based nursing intervention. Record two groups of patients in SAS and VAS scales, and compared the incidence of wound infection. Results Before surgery 2H and after surgery 1D, the scores of SAS and VAS in the study group were lower than those of the control group （P〈0. 05）. After surgery 1D, the pain score in the study group was lower than that in the control group （P〈0. 05） . The infection rate of incision in the study group was 4. 5% （ 2/44）, which was lower than that of the control group （5/44）, and the difference was statistically significant （P〈0. 05 ）. Conclusion Evi- dence-based nursing applied in operation room patients, can reduce the anxiety and pain, and can reduce the inci- dence of incision infection.

关 键 词：循证护理 手术室 负性情绪 并发症 

分 类 号：R749[医药卫生—神经病学与精神病学]