循证护理在手术室护理中的应用效果观察

Application effect observation of evidence-based nursing in operating room nursing

目的探讨循证护理在手术室护理中的应用效果。方法选取本院2012年11月-2013年10月的184例手术患者作为研究对象,随机分为观察组和对照组,各92例。对照组给予传统护理,观察组给予循证护理。采用SCL-90量表评估两组的抑郁、焦虑等不良情绪,并对护理满意度、护理质量评分、并发症发生率进行比较。结果两组护理后的抑郁、焦虑、恐惧、敌对、偏执、人际关系评分显著低于护理后,差异有统计学意义（P〈0.05）。观察组护理后的抑郁、焦虑、恐惧、敌对、偏执、人际关系评分显著低于对照组护理后,差异有统计学意义（P〈0.05）。观察组的护理满意度显著高于对照组,差异有统计学意义（P〈0.05）。观察组的护理质量评分为（98.32±3.58）分,显著高于对照组的（81.43±3.12）分,差异有统计学意义（P〈0.05）。观察组的并发症发生率为1.09%,显著低于对照组的7.69%,差异有统计学意义（P〈0.05）。结论循证护理能够缓解手术患者的不良情绪,改善护理质量,提高护理满意度。

Objective To explore the application effect of evidence-based nursing in operating room nursing. Methods 184 surgical patients in our hospital from November 2012 to October 2013 were selected and randomly divided into the observation group and the control group,92 patients in each group.The control group was given traditional nursing,the observation group was given evidence-based nursing.The SCL-90 scale was used to evaluate the adverse emotions in- cluding depression and anxiety in two groups,the nursing satisfaction degree,nursing quality and the incidence of com- plication was compared. Results The score of depression,anxiety,terror,hostility,paranoia and interpersonal relationship in two groups after nursing was lower than that before nursing,with significant difference （P〈0.05）.The score of depres- sion,anxiety,terror,hostility,paranoia and interpersonal relationship in the observation group after nursing was lower than that in the control group after nursing,with significant difference （P〈0.05）.The degree of nursing satisfaction in the ob- servation group was higher than that in the control group,with significant difference（P〈0.05）.The score of nursing quality in the observation group was （98.32±3.58） points,which was higher than （81.43±3.12） points in the control group,with significant difference（P〈0.05）. The incidence of complication in the observation group was 1.09%,which was lower than 7.69% in the control group,with significant difference（P〈0.05）. Conclusion Evidence-based nursing can relieve the ad- verse emotion of surgical patients,improve nursing quality and nursing satisfaction.