循证手术室护理在手术室急诊患者护理中的应用分析

Application Analysis of Evidence-based Operation Room Nursing in the Operation Room Emergency Patient Care

目的:探讨循证手术护理在手术室急诊患者护理中的临床应用效果,为提高急诊患者的护理水平提供理论基础。方法:回顾性分析本院2013年2月-2014年3月收治的100例手术室急诊患者,按照手术护理方式的不同将其随机分为对照组和试验组,每组各50例。对照组患者采用常规的护理方法,试验组患者在此基础上采用循证护理,对比分析两组患者的临床护理效果。结果:试验组患者的手术时间及术后恢复时间分别为(50.65±3.48)min、(5.47±1.62)d,均明显短于对照组的(69.47±3.62)min、(8.26±1.48)d,差异均有统计学意义(P<0.05);试验组的护理满意度96.0%(48/50)明显高于对照组的72.0%(36/50),不良反应发生率4.0%(2/50)明显低于对照组的26.0%(13/50),差异均有统计学意义(P<0.05)。试验组患者的抑郁、焦虑、敌对、恐惧等评分均明显低于对照组,差异均有统计学意义(P<0.05)。结论:在手术室急诊护理中应用循证护理能够有效提高患者的护理质量,减少恢复时间,可有效地提高患者的护理满意度,降低不良反应的发生率,具有明显的临床实践价值,值得进一步推广和应用。

Objective：To investigate the clinical application effect of evidence-based operation room nursing in the operation room emergency patient care,and provide a theoretical basis for improving the level of care for emergency patients.Method：100 emergency surgical patients in operation room of our hospital from February 2013 to March 2014 were retrospectively analyzed,they were randomly divided into the control group and the experimental group according to the different ways of surgical care,50 cases in each group.The patients in the control group were treated with routine care,while the patients in the experimental group were treated with routine care added evidence-based care.The clinical effects of the two groups were compared and analyzed.Result：The operative time and postoperative recovery time of the experimental group were（50.65±3.48）min,（5.47±1.62）d,which were significantly shorter than（69.47±3.62）min and（8.26±1.48）d of the control group,the differences were statistically significant（P〈0.05）.The nursing satisfaction of the experimental group was 96.0%（48/50）,which was significantly higher than 72.0%（36/50） of the control group,the incidence of adverse reactions in the experimental group was 4.0%（2/50）,which significantly lower than 26.0%（13/50） in the control group,the differences were statistically significant（P〈0.05）.The scores of depression,anxiety,hostility,fear in the experimental group were significantly lower than those in the control group,the differences were statistically significant（P〈0.05）.Conclusion：Application of evidence-based operation room nursing in the operation room emergency patient care can improve the quality of nursing care,decrease the postoperative recovery time,increase the satisfaction of emergency surgical patients,lower the incidence of adverse reactions,with obvious clinical practice value,it is worthy of further promotion and application.