循证护理在腹腔镜下卵巢囊肿剥除术患者中的应用效果

摘要

Objective To study the effect of evidence-based nursing in laparoscopic cystectomy for ovarian cysts.Methods From January 2015 to January 2016,92 cases with ovarian cyst diagnosed in the First Affiliated Hospital of Hebei North University were selected and divided into general group and observation group according to random number table,with 46 cases in each group.The general group was received routine nursing,and the observation group was received evidence-based nursing intervention.The incidence of postoperative complications,the scores of nursing quality and psychological anxiety of the two groups were evaluated.Results The incidence of postoperative complications in the general group was 28.26％,and the incidence rate of the observation group was 10.87％,the incidence of postoperative complications in the observation group was lower than that in the normal group (P ＜ 0.05).The scores of nursing quality in the general group were lower than those in the observation group,such as the prevention of complications,psychological intervention,condition monitoring and health education (P ＜ 0.05).The postoperative recovery of gastrointestinal function,hospitalization,and ambulation of patients in the general group were longer than those in the observation group (P ＜ 0.05).At admission,the psychological anxiety scores of the two groups were not statistically significant (P ＞ 0.05).After intervention,the anxiety score in the observation group was lower than that in the general group (P ＜ 0.05).Conclusion Evidence-based nursing can effectively improve the clinical nursing quality and the psychological anxiety of patients,reduce the incidence of postoperative complications.%目的 研究在腹腔镜下卵巢囊肿剥除术中实施循证护理模式的影响.方法 选取河北北方学院附属第一医院2015年1月～2016年1月收治的92例卵巢囊肿患者,按照随机数字表法分为普通组和观察组,每组各46例.普通组接受常规护理,观察组接受循证护理干预.评估两组患者术后并发症发生率、护理质量、心理焦虑情况及康复效果.结果 普通组患者术后并发症发生率为28.26％,观察组患者发生率为10.87％,观察组患者术后并发症发生率低于普通组(P＜0.05).普通组患者对于临床提供的并发症预防、心理干预、病情监测及健康教育等护理质量评分结果均低于观察组(P＜0.05).普通组患者术后胃肠道功能恢复、住院、离床活动用时均长于观察组(P＜0.05).入院时,两组患者心理焦虑评分比较,差异无统计学意义(P＞0.05);护理后,观察组患者心理焦虑评分低于普通组(P＜0.05).结论 循证护理服可有效提高临床护理质量,改善患者心理焦虑,降低术后并发症发生率.