胃溃疡患者的循证护理要点及护理效果评价  

The Key Points of Evidence-based Nursing for Patients with Gastric Ulcer and the Evaluation of Nursing Effect

作　　者：王丽娜 WANG Li’na(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第21期37-40,共4页Guide of China Medicine

摘　　要：目的分析观察胃溃疡患者应用循证护理取得的效果。方法将2018年4月至2019年4月来我院接受胃溃疡治疗的92例患者以随机方法分为观察组和对照组,平均为46例。为两组患者均按照相同的治疗方法予以治疗,并同时对两组患者分别按照循证护理和常规护理方法实施护理干预,对经过不同护理干预之后两组患者的治疗有效率、并发症发生率、恢复指标、炎性因子水平和生活质量等进行统计和对比。结果①观察组(44例,占95.65%)在治疗有效率方面相比对照组(38例,占82.61%)更占优势,统计学差异显著(P<0.05);观察组(3例,占6.52%)的并发症发生率相比对照组(13例,占28.26%)占有更低的比重,统计学差异显著(P<0.05)。③观察组的临床症状消失时间、疼痛消失时间、胃肠功能恢复时间与住院时间相比对照组都明显更短,统计学差异显著(P<0.05)。④护理前,两组患者的CRP、TNF-α、INF-β、IL-6等炎性因子水平无明显差异(P>0.05),护理后,观察组在CRP、TNF-α、INF-β、IL-6等这个因子水平方面的改善效果比对照组更占优势,统计学差异显著(P<0.05)。⑤护理前,两组患者的生活质量评分无显著差异(P>0.05),护理后,观察组的生活质量相比对照组改善更好,统计学差异显著(P<0.05)。结论为胃溃疡患者提供循证护理措施对增强患者的治疗有效率,减少并发症对患者康复的影响方面具有重要的价值,综合性促进患者病情的康复,并改善机体内的炎性指标,能提高患者的生活质量,值得推荐。Objective To analyze and observe the effect of evidence-based nursing in patients with gastric ulcer.Methods A total of 92 patients who came to our hospital for gastric ulcer treatment from April 2018 to April 2019 were randomly divided into an observation group and a control group,with an average of 46 cases.The two groups of patients were treated according to the same treatment methods,and at the same time,the two groups of patients were subjected to nursing intervention according to evidence-based nursing and routine nursing methods,respectively,recovery indicators,inflammatory factor levels and quality of life and other statistics and comparisons.Results(1)The observation group(44 cases,accounting for 95.65%)was more dominant than the control group(38 cases,accounting for 82.61%)in terms of treatment efficiency,and the difference was statistically significant(P<0.05).(2)The observation group(3 cases,accounting for 6.52%)had a lower proportion of complications than the control group(13 cases,accounting for 28.26%),and the difference was statistically significant(P<0.05).(3)The clinical symptoms disappeared in the observation group The time,pain disappearance time,and gastrointestinal function recovery time were significantly shorter than the hospitalization time in the control group,and the difference was statistically significant(P<0.05).(4)Before nursing,there was no significant difference in the levels of CRP,TNF-α,INF-β,IL-6 and other inflammatory factors between the two groups(P>0.05).The improvement effect of this factor level such as CRP,TNF-α,INF-β,IL-6 is more dominant than that of the control group,and the difference is statistically significant(P<0.05).(5)Before nursing,there was no significant difference in the quality of life scores between the two groups(P>0.05).After nursing,the quality of life of the observation group improved better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Providing evidence-based nursing measures for gastric ulcer pati

关 键 词：胃溃疡 循证护理 症状消失时间 生活质量 炎性因子 

分 类 号：R473.5[医药卫生—护理学]