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目的:观察循证护理用于血管外科介入术患者中的效果。方法:前瞻性选取台州恩泽医疗中心(集团)浙江省台州医院血管外科2014年1月~2015年10月收治的180例行介入术治疗的血管外科患者,采用随机抽签法将其分为对照组和干预组。对照组行常规护理,干预组行循证护理,观察两组患者术后卧床时间、住院时间、负性心理改善情况、并发症发生情况和护理满意度。结果:干预组平均住院时间、卧床时间均明显短于对照组(P<0.05);干预组焦虑、抑郁、恐惧评分下降程度明显优于对照组(P<0.05);干预组并发症发生率为38.75%,明显低于对照组的65.00%(P<0.05);干预组的护理服务满意度为95.00%,明显高于对照组的72.50%(P<0.05)。结论:血管外科患者行介入治疗中采取循证护理,可有效改善患者心理状态,降低术后并发症的发生,提高护理满意度。
Objective: To observe the effect of evidence-based nursing in patients undergoing vascular surgery intervention. Methods: A total of 180 surgical patients undergoing percutaneous coronary intervention from January 2014 to October 2015 in Department of Vascular Surgery, Taizhou Hospital of Taizhou, Zhejiang Province, were prospectively selected and randomly divided into control group And intervention group. The control group underwent routine nursing and intervention group with evidence-based nursing. The time of bed rest, hospital stay, negative psychology, complication and nursing satisfaction were observed in two groups. Results: The average length of stay and bed rest time in the intervention group were significantly shorter than those in the control group (P <0.05). The anxiety, depression and fear scores in the intervention group were significantly lower than those in the control group (P <0.05). The incidence of complications in the intervention group was 38.75%, which was significantly lower than that of the control group (65.00%, P <0.05). The nursing service satisfaction rate in the intervention group was 95.00%, which was significantly higher than that in the control group (72.50%, P <0.05). Conclusion: Evidence-based nursing in the interventional treatment of vascular surgery patients can effectively improve the psychological status of patients, reduce the incidence of postoperative complications and improve nursing satisfaction.