循证护理在先天性心脏病小儿行介入性心导管术前禁食禁饮时间的应用

Application of Evidence-based Nursing to the Time of Absolute Diet before Cardiac Catheterization of Children with Congenital Heart Disease

目的探讨循证护理在先天性心脏病小儿行介入性心导管术前禁食禁饮的时间。方法针对先天性心脏病小儿行介入性心导管术前禁食禁饮时间安全性和合理性提出临床问题,然后用主题词“cardiaccatheterization”、“absolutediet”和“time”检索MEDLINE数据库寻找相关的证据,进行分析评价,并对161例先天性心脏病小儿进行循证护理应用。结果开展循证护理实践后病儿饥饿、哭闹,低血糖反应,恶心、呕吐等症状均明显改善(P<0.05)。结论循证护理为临床护理思维提供了“批判性评估”的方法,用科学的最佳证据纠正传统护理存在的误区,以此为先天性心脏病小儿行介入性心导管术前禁食禁饮时间提供了科学管理的依据。

Objective To investigate the time application of evidence-based nursing in children with congenital heart disease who were absolutely dieted before cardiac catheterization. Methods We put forward clinical questions regarding children with congenital heart disease who were absolutely dieted before cardiac catheterization. Then using “cardiac catheterization” and “absolute diet” and“time” as key words,we searched evidences from MEDLINE （1985- 2004）. Applied the program of evidence-based nursing to the study of 161 patients time before cardiac catheterization. Results Symptoms of the patients with hunger, crying, hypoglycemia and vomiting were significantly improved （P 〈 0.05）. Conclusion Evidence-based nursing provided the criticzed evaluation methods for the clinical nursing thinks, the best evidence for correcting the traditional nursing, and the scientific time management for the children with congenital heart disease before cardiac catheterization.