摘要
目的分析在肝脾破裂手术后进行循证护理模式的具体效果和实际价值。方法选取我院2014年12月~2017年12月收治的肝脾破裂手术患者78例,根据入院先后顺序将其均分为两组,每组各39例。对照组使用常规护理模式,观察组使用循证护理模式。比较两组生活质量评分(ADL)、疼痛评分(VAS)、住院时间、并发症发生率、护理满意度和总有效率。结果两组护理后ADL评分和VAS评分高于护理前,差异有统计学意义(P<0.05);两组护理前ADL评分和VAS评分比较,差异无统计学意义(P>0.05);观察组护理后ADL评分、VAS评分和住院时间明显高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为7.69%,低于对照组(23.08%),差异有统计学意义(P<0.05)。观察组护理满意度为94.88%,高于对照组(79.48%),差异有统计学意义(P<0.05)。观察组总有效率为97.44%,高于对照组(82.06%),差异有统计学意义(P<0.05)。结论对肝脾破裂手术患者使用循证护理模式能有效缩短患者住院时间,提高生活质量,减少患者疼痛感和并发症发生率,患者反映普遍较好,且整体护理效果明显,可在各大医院中推广使用。
Objective To analyze the specific effect and practical value of evidence-based nursing mode after liver and spleen rupture surgery.Methods Altogether 78 patients who underwent liver and spleen rupture surgery in our hospital from December 2014 to December 2017 were selected and divided into control group and observation group according to the order of admission,39 cases in each group.The control group was treated with conventional nursing mode,while the observation group was treated with evidence-based nursing mode.The activities of daily life（ADL） quality of life score,visual analogue scale（VAS） pain score,length of stay,complication rate,nursing satisfaction and total effective rate were compared between the two groups.Results The post-nursing ADL quality of life score and VAS pain score of the observation group and the control group were higher than those before the nursing,with statistically significant difference（P〈0.05）.There was no statistically significant difference between the two groups in pre-nursing ADL quality of life score and VAS pain score（P〉0.05）.The post-nursing ADL quality of life score,VAS pain score and length of stay of the observation group were significantly higher than those of control group,with statistically significant difference（P〈0.05）.The incidence of complications of the observation group was 7.69%,lower than that of the control group（23.08%）,with statistically significant difference（P〈0.05）.The nursing satisfaction of the observation group was 94.88%,higher than that of the control group（79.48%）,with statistically significant difference（P〈0.05）.The total effective rate of the observation group was 97.44%,higher than that of the control group（82.06%）,with statistically significant difference（P〈0.05）.Conclusion Application of evidence-based nursing model for patients with liver and spleen rupture can effectively shorten the patients′ hospitalization time,improve the quality of life and reduce the pain perception and complica
作者
李彩霞
刘鸿凯
LI Cai-xia;LIU Hong-kai(Department of Surgery,Maonan District People＇s Hospital of Maoming City,Guangdong Province,Maoming 525011,China)
出处
《中国当代医药》
2018年第15期185-188,共4页
China Modern Medicine
关键词
肝脾破裂手术
循证护理模式
效果观察
Liver and spleen rupture surgery
Evidence-based nursing mode
Effect observation
