循证护理在脊柱损伤患者中的应用效果  

Application effects of evidence-based nursing in patients with spinal injury

作　　者：薛文青 XUE Wenqing(3^(rd)Department of Orthopaedics of Anyang District Hospital,Puyang 455000 Henan,China)

机构地区：[1]濮阳市安阳地区医院骨三科,河南濮阳455000

出　　处：《中国民康医学》2025年第4期184-187,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察循证护理在脊柱损伤患者中的应用效果。方法:选取2020年5月至2022年10月该院收治的100例脊柱损伤患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各50例。对照组实施常规护理,观察组实施循证护理。比较两组护理前后脊髓神经恢复程度(美国脊髓损伤协会脊髓损伤神经学国际分类标准)评分、生活自理能力[Barthel指数(BI)]评分,并发症发生率和护理满意度。结果:护理后,两组运动维度、痛觉和触觉等脊髓神经恢复程度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组BI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.00%,低于对照组的20.00%,差异有统计学意义(P<0.05);观察组护理满意度为98.00%,高于对照组的84.00%,差异有统计学意义(P<0.05)。结论:循证护理应用于脊柱损伤患者可提高脊髓神经恢复程度评分、生活自理能力评分和护理满意度,以及降低并发症发生率的效果优于常规护理效果。Objective:To observe application effects of evidence-based nursing in patients with spinal injury.Methods:A prospective study was conducted on 100 patients with spinal injury admitted to the hospital from May 2020 to October 2022.According to the random number table method,they were divided into control group and observation group,50 cases in each group.The control group received routine nursing,while the observation group received evidence-based nursing.The degree of spinal cord nerve recovery(American spinal cord injury association international classification of spinal cord injury neurology)score,the self-care ability[Barthel index(BI)]score before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of spinal nerve recovery degree such as motor dimension,pain and tactile sense in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the BI scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 98.00%,which was higher than 84.00%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based nursing in the patients with spinal injury can improve the scores of spinal cord nerve recovery and self-care ability and the nursing satisfaction,and reduce the incidence of complications.Moreover,it is superior to the routine nursing.

关 键 词：脊柱损伤 循证护理 并发症 护理满意度 

分 类 号：R473.5[医药卫生—护理学]