循证护理在髋部骨折合并高血压患者围手术期的应用

Applications of evidence-based nursing in perioperative hip fractures patients withhypertension

目的探讨循证护理在髋部骨折合并高血压患者围手术期的应用效果。方法将200例髋部骨折合并高血压患者随机分成试验组与对照组各100例，试验组根据患者具体情况提出护理问题，进行系统的文献查询，实施循证护理；对照组常规护理。结果试验组患者健康教育知识掌握程度、患者满意度、并发症发生率均明显高于对照组（P〈0．05），患者的年龄、文化程度、血压等与对照组比较差异均无显著性（P〉0．05l试验组术后两周髋关节功能Harris评分为（94．3±1．6），对照组为（85．2±1．2）。结论循证护理能有效提高患者的生活质量，降低患者的残障率和死亡率，缩短住院天数，减轻患者的经济负担，提高患者对护理的满意度。

Objective To investigate the application effect of the evidence-based nursing in perioperative hip fracture patients with hypertension. Methods 200 cases of hip fracture patients with hypertension were randomly divided into experimental group and control group, 100 cases for each group, in the experimental group according to the specific circumstances of the patients, we proposed nursing issues, conducted systematically literature query, implemented the evidence-based nursing care, yet the control group was in accordance with routine care. Results In experimental group, the degree of patients＇ knowledge of health education, patients＇ satisfaction, the incidence of complications, postoperative hip function were significantly higher than those in the control group（P〈 0.05）. The patients＇ age, educational level, blood pressure compared with the control group showed no significant difference. Conclusion Evidence-based nursing can improve the quality of life, reduce the disability and mortality rates, shorten the length of stay, alleviate the economic burden and improve patients＇ satisfaction with nursing.