结直肠癌术后管路护理规范的循证实践效果

Evidence-based practice effect of catheter nursing specification after colorectal cancer surgery

目的探讨循证护理在结直肠癌术后管路护理规范中的实践效果。方法选取2013年2月—2015年2月间天津市第四中心医院肛肠外科收治的50例结直肠癌术后留置管路的患者为研究对象,按随机数字法将患者平均分为对照组和研究组,各25例患者。对照组患者采取常规护理方法,研究组患者采取循证护理模式,比较两组患者管路医源性感染发生率、脱管率、患者平均住院天数以及患者对管路维护知识的知晓率和护理满意度情况。结果研究组患者发生导管医源性感染1例,占4.0%;对照组发生6例,占24.0%,差异无统计学意义(P>0.05)。研究组患者发生脱管2例,占8.0%;对照组发生8例,占32.0%,差异有统计学意义(P<0.05)。研究组患者的平均住院天数也较对照组少,患者的管路维护知晓率和护理满意度明显高于对照组,差异均有统计学意义(均P<0.05)。结论运用循证护理模式规范结直肠癌术后管路护理,有效减少了结直肠癌术后患者的导管医源性感染及脱管现象,减少了平均住院天数,综合性提高了患者对护理的满意度,促进了医疗安全。

[Objective]To explore the practice effect of evidence-based nursing in catheter nursing specification after colorectal cancer surgery. [Methods]A total of 50 cases of colorectal cancer patients with postoperative indwelling catheter in anorectal surgical department of Tianjin Fourth Center Hospital from February 2013 to February 2015 were selected and randomly divided into control group and study group according to random number table,25 cases in each group. Control group was given routine nursing,and study group was given evidence-based nursing. The incidence of catheter iatrogenic infection,rate of taking off catheter,average hospitalization days,awareness rate of catheter maintenance knowledge and nursing satisfaction among two groups were compared. [Results]There was 1 case catheter iatrogenic infection（4.0%）in study group and 6 cases（24.0%） in control group,the difference was statistically significant（P〈0.05）. There were 2 cases of taking off catheter（8.0%） in study group and 8cases（32.0%） in control group,the difference was statistically significant（P〈0.05）. Compared with control group,the average hospitalization days of study group was less,and the awareness rate of catheter maintenance knowledge and nursing satisfaction were higher,the differences were all statistically significant（all P 0.05）. [Conclusion] Using evidence-based nursing model to standardize the catheter nursing after colorectal cancer surgery effectively reduces the catheter iatrogenic infection,taking off catheter and average hospitalization days,improves the nursing satisfaction and promotes the medical safety.