循证护理在急诊洗胃中的应用研究

The application of evidence-based nursing in the emergency gastric lavage

目的:观察循证护理在急诊洗胃中的应用。方法:将急诊洗胃的124例患者随机分为观察组和对照组,每组62例。观察组采用循证护理洗胃方法,对照组采用传统护理洗胃方法。观察2组洗胃时间、不良反应和并发症的发生、护理满意度、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分等的情况。结果:观察组患者首次吸出液体时间和总洗胃时间均显著短于对照组患者(P<0.01)。观察组患者不良反应和并发症的发生显著少于对照组(P<0.01)。观察组患者护理满意度和SAS评分、SDS评分均显著优于对照组(P<0.01)。结论:循证护理洗胃方法具有洗胃时间短、不良反应和并发症少、患者满意度高以及可减轻患者焦虑和抑郁等优点。

Objective：To observe the effects of evidence-based nursing in the emergency gastric lavage. Methods：One hundred and twenty-four patients who need emergency gastric lavage were collected and randomly divided into observation group and control group. Sixty-two patients were divided into each group. Evidence-based nursing gastric lavage was used in observation group. Traditional gastric lavage was used in control group. The time of gastric lavage, the occurrences of untoward effects and complication, the satisfaction of nursing, the score of SAS and SDS were observed. The differences of these two groups were observed. Results：The time of first liquid extraction and total gastric lavage time were significantly shorter in observation group than that in control（ P 〈 0.01 ）. The occurrences of untoward effects and complication were significantly lower in observation group than that in control （ P 〈 0.01 ）. The satisfaction of nursing, the score of SAS and SDS were significantly better in observation group than that in control （ P 〈 0. 01 ）. Conclusions： Evidence-based nursing in the emergency gastric lavage have a shorten time of gastric lavage, low occurrence of untoward effects and complication, high satisfaction of nursing, reduce the anxiety and depressed of patients.