循证护理对改善泌尿外科术后输尿管外引流与内支架管内引流患者护理需求的效果评价

Evaluation of the effect of evidence-based nursing on improvement of nursing requirement of patients with ureter external drainage and inner stent drainage after urological operation

目的探讨循证护理对改善泌尿外科术后输尿管外引流与内支架管内引流患者护理需求的效果。方法选取2009年6月至2011年10月于泌尿外科进行手术的62例患者为研究对象，随机分为对照组和观察组各31例，分别采用常规护理和循证护理模式进行护理，后将2组患者的护理需求及护理前、护理后3，5d的护理效果进行比较。结果所有患者均存在相关知识指导需求、心理不良情绪疏导需求、社会支持需求，且输尿管外引流与内支架管内引流患者在这些需求方面无显著差异，干预后观察组的各个评估项目改善幅度均优于对照组。结论泌尿外科术后输尿管外引流与内支架管内引流的患者存在相关知识指导需求、心理不良情绪疏导需求及社会支持需求，循证护理模式可以更为有效地改善患者的这些项目的需求状态。

Objective To study the effect of evidence-based nttrsing on improving the nursing require- ment of patients with ureter external drainage and inner stent drainage after urological operation. Methods 62 patients in department of urinary surgery from June 2009 to October 2011 were selected as research object, and they were＇randomly divided into the control group and the observation group with 31 cases in each group,the two groups adopted routine nursing mode and evidence-based nursing mode respectively. Then the nursing requirement and nursing effect before and three and five days after nursing were compared be- tween two groups. Results All the patients existed needs of related knowledge guidance,unhealthy emo- tion adjustment and social support,and the needs of patients between ureter external drainage and inner stent drainage showed no significant differences,improvement level of each items of the observation group after nursing were all better than those of the control group. Conclusions The patients with ureter exter- nal drainage or inner stent drainage have needs of related knowledge guidance,unheahhy emotion adjust- ment and social support, and the evidence-based nursing mode can effectively improve the patients＇demand situations of these items.