循证护理在中重度烧伤后预防瘢痕增生中的作用评价  

Appraisal on EBN's Treatment Effect in Preventing Scar Proliferation after Moderate to Severe Burns

作　　者：李丽香[1] 陈蓝[1] LI Li-xiang CHEN Lan(Department of Burn and Plastic Surgery, The 180th Hospital of PLA, Quanzhou 362000, Fujian, China)

机构地区：[1]中国人民解放军第180医院烧伤整形科,福建泉州362000

出　　处：《中国美容医学》2017年第2期17-19,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨循证护理在中重度烧伤后预防瘢痕增生的疗效。方法:选取2013年2月-2016年5月于我院就诊的100例中重度烧伤患者为研究对象,将其随机分为对照组(50例)和观察组(50例),对照组给予常规护理,观察组给予循证护理。观察比较两组患者对相关护理知识的掌握情况、治疗的依从性、满意度、心理改善情况、住院天数及治疗后的效果。结果:经统计分析发现,治疗护理前两组患者对相关护理知识的掌握情况无明显差异(P>0.05);治疗护理后,观察组对相关护理知识的掌握情况、治疗的依从性、满意度、心理改善情况均高于对照组,住院天数少于对照组,两组比较具有明显差异(P<0.01);观察组有效率高于对照组,两组比较具有差异(P<0.05)。结论:循证护理在中重度烧伤后预防瘢痕增生疗效明显,同时使护理人员自身综合素质得到提高,达到护患双赢的双层效果,值得临床推广应用。Objective Discussing EBN＇s（evidence-based nursing） Treatment Effect in Preventing Scar Proliferation after Moderate to Severe Burns. Methods 100 cases of moderate to severe burns received by our hospital from February 2013 to May 2016 were selected as research object and randomly divided into two groups, the control group（with 50 cases） and the observation group（with 50 cases）. Patients of the control group received normal nursing, while patients of the observation group received EBN. Patients of the two groups were observed and compared in terms of their grasp of relevant nursing knowledge, their compliance to treatment, their satisfaction degree,their mental improvement, days of hospitalization and effect after treatment. Results Statistical analysis found that before treatment and nursing, patients of the two groups had no significant difference in terms of grasping nursing knowledge（P〉0.05）, after treatment and nursing, patients of the observation group prevailed those in the control group in all aspects including the grasp of relevant nursing knowledge, compliance to treatment, satisfaction degree and mental improvement,patients of the observation group were hospitalized shorter than those of the control group with significant differences（P〈0.01）. The efficiency of observation group was higher than that of control group with appreciable difference（P〈0.05）. Conclusions The EBN mode shows significant effect in preventing scar proliferation of patients suffering from moderate to severe burns and improves the overall quality of the nursing staffs, realizing win-win status for both the patients and nursing staffs and worthy of clinical promotion and practice.

关 键 词：循证护理 中重度烧伤 预防瘢痕增生 疗效评价 

分 类 号：R619.6[医药卫生—外科学] R473.6[医药卫生—临床医学]