循证护理在预防和控制消化道内镜检查感染中的作用  

Effects of evidence-based nursing on infection prevention and control in digestive endoscopy

作　　者：邓芝禾[1] 张儿花[1] 梁云芳[2] 

机构地区：[1]广东药科大学附属第一医院消化内科,广东广州510080 [2]广东药科大学附属第一医院护理部,广东广州510080

出　　处：《中西医结合护理（中英文）》2017年第2期92-94,共3页Journal of Clinical Nursing in Practice

摘　　要：目的分析循证护理在预防和控制消化道内镜检查感染中的干预作用。方法按入院顺序将560例接受消化道内镜检查的患者随机分为循证护理组和对照组,各280例。检查期间,对照组接受常规护理,循证护理组在对照组基础上给予循证护理干预。对比2组行消化道内镜检查并发感染状况,评估患者痛苦程度、不良反应状况及患者满意程度。结果循证护理组感染率5.71%(16/280),低于对照组的11.07%(31/280),差异有统计学意义(P<0.05)。循证护理组患者痛苦程度评分和不良反应发生率低于对照组,对护理效果满意度高于对照组,差异有统计学意义(P<0.05)。结论针对消化道内镜检查患者实施循证护理干预,可有效降低感染风险,对减少患者痛苦和不良反应具有积极意义。Objective To analyze the effect of evidence-based nursing on infection prevention and control in digestive endoscopy. Methods A total of 560 patients undergoing digestive endos-copy were assigned to the evidence-based group and the control group, with 280 cases in each group. Both two groups received routine nursing care and evidence-based group was given evi-dence-based nursing interventions additionally. The infection rate after digestive endoscopy was observed. The pain degree, adverse reaction and satisfaction to nursing service were compared be-tween two groups. Results The infection rate was 5. 7 1 % （16/280） in the evidence-based group and was 11. 07% （31/280） in the control group, with a significant difference （ P 〈 0. 0 5 ）. Pa-tients in the evidence-based group had a lower score of pain assessment, lower complication rate and higher satisfaction degree compared with those in the control group （P 〈0. 0 5）. Conclusion The application of evidence-based nursing is potentially effective to reduce the risk of infection in digestive endoscopy. It can also reduce the pain degree and adverse reaction of patient undergo-ing digestive endoscopy.

关 键 词：消化道 内镜检查 循证护理 感染控制 

分 类 号：R473.74[医药卫生—护理学]