循证护理模式应用于胸外重症患者中的可行性研究  

Feasibility Study of Evidence-based Nursing Model Applied to Critical Patients in Department of Thoracic Surgery

作　　者：胡靖青[1] 彭静[1] 周姓良[1] 刘海峰[1] 陈燕河[1] 郭敏[1] 

机构地区：[1]广东省佛山市顺德区第一人民医院,广东佛山528300

出　　处：《中国医学创新》2015年第35期76-79,共4页Medical Innovation of China

基　　金：2015年广东省医学科研基金立项项目(A2015270)

摘　　要：目的:探究循证护理与常规护理运用于胸外科重症患者监护中的影响效果,进一步总结胸外科重症患者护理的方法。方法:选取2014年3月-2015年3月本院收治的胸外科重症患者48例作为研究对象,按照入院时间顺序随机分为循证护理组与常规护理组,循证护理组采用循证护理模式解决胸外科重症患者护理过程中遇到的问题,常规护理组采用胸外科常规基础护理。比较两组患者对护理的满意度、并发症的发生率及护理后SF-36量表的评分。结果:循证护理组满意度明显高于常规护理组,比较差异有统计学意义(字2=5.4857,P=0.0192);循证护理组并发症发生率明显低于常规护理组,比较差异有统计学意义(字2=4.1812,P=0.0409);循证护理组SF-36量表中躯体角色、躯体功能、机体疼痛、社会功能及总健康得分均明显高于常规护理组,比较差异均有统计学意义(P<0.05)。结论:在胸外科重症患者监护护理过程中,使用循证护理的模式能取得更好的临床护理效果,有效提高患者及家属的满意度,降低护理过程中发生的并发症,提高患者的生活质量,其实施简单易行,可以有效提高护理人员自身的护理实践基础能力,值得临床护理推广借鉴使用。Objective：To explore the effect of evidence-based nursing and routine nursing care in the intensive care of patients in department of thoracic surgery,to further summarize the method of nursing care for severe patients in department of thoracic surgery.Method：A total of 48 severe patients admitted to our hospital from March 2014 to March 2015 were selected and randomly divided into the evidence-based nursing group and the routine nursing group according to the order of time.The evidence-based nursing model was used to solve the problems encountered in the process of nursing care for severe patients in department of thoracic surgery in the evidence-based nursing group,the routine nursing group was given routine basic nursing of department of thoracic surgery.The nursing satisfaction,the incidence of complications and the SF-36 scale scores of the two groups after nursing were compared.Result：The satisfaction rate of the evidence-based nursing group was higher than that of the conventional nursing group,the difference was statistically significant（ 字2=5.4857,P=0.0192）.The incidence rate of complications in the evidence-based nursing group was lower than that in the conventional nursing group,the difference was statistically significant（ 字2=4.1812,P=0.0409）.The scores of physical role,body function,body pain,social function and total health of SF-36 scale in the evidence-based nursing group were higher than those in the routine nursing group,the differences were statistically significant（P〈0.05）.Conclusion：The use of evidence-based nursing care in the process of intensive care in the department of thoracic surgery can achieve better clinical nursing effect,improve the satisfaction of patients and their families,reduce operation related complications and improve the quality of life of patients.The implementation of evidence-based nursing is simple and feasible,and it also can effectively improve the basic ability of nursing staff＇s nursing practice,which is worthy of promotion and applicat

关 键 词：循证护理 胸外科 重症患者 可行性研究 

分 类 号：R473.6[医药卫生—护理学] R-03[医药卫生—临床医学]