预见性护理在肛肠外科患者中的护理效果分析

Analysis on nursing effect of foreseeable nursing in department of anus & intestine surgery patients

目的分析预见性护理在肛肠外科患者中的临床护理效果。方法选择我院120例肛肠疾病手术后住院的患者,采用随机奇偶数字的分组方法将患者分为实验组与对照组,每组各60例。实验组患者予临床预见性护理,对照组患者给予肛肠外科常规护理;通过2周的实验性研究,按对住院患者护理效果的满意度调查、基础护理质量评价标准以及护理敏感指标体系等标准对两组研究对象进行量化分析,探讨预见性护理在促进肛肠疾病手术后住院患者的临床效果。结果实验组的护理满意度明显高于对照组,差异有统计学意义（χ^2=9.863,P=0.013）;实验组在基础护理评价和分级护理评价方面的得分明显高于对照组,差异有统计学意义（t=4.296,P=0.041;t=8.163,P=0.034）;实验组患者的直接护理时间明显长于对照组,差异有统计学意义（t=10.273,P=0.021）;在住院患者跌倒/坠床发生率、住院患者压疮发生率、静脉输液外渗发生率及下肢深静脉血栓发生率等护理敏感指标方面,实验组明显低于对照组,差异有统计学意义（P〈0.05）。结论预见性护理在肛肠外科患者救治过程中具有明显的优势,能提高护理服务质量及患者对护理工作的满意度。

Objective To analyze the clinical nursing effect of foreseeable nursing in department of anus intestine surgery patients. Methods Random parity digit grouping method, 120 cases of anorectal disease postoperative hospitalized patients were divided into experimental group and control group which each group was 60 cases. The research object of the experimental group was taken through the method of foresight clinical nursing. The subjects of the control group were taken routine surgery nursing, the experimental study of two weeks. By the standards of hospitalized patients the effects of nursing satisfacted survey, and the quality of basic nursing evaluation criteria and nursing sensitive index system of two groups of subjects quantitative was analyzed, explored clinical effect of foreseeable nursing in anorectal diseases in hospitalized patients after operation. Results The nursing satisfaction of experimental group was significantly higher than the control group,with significant difference（χ^2=9.863, P=0.013）; The basic nursing evaluation and grading nursing evaluation of experimental group were higher than that of control group, with significant difference（t=4.296,P =0.041; t =8.163, P =0.034）; direct nursing time in the experimental group was significantly longer than that of the control group,with significant difference（t =10.273, P =0.021）. In hospitalized patients fall/fall bed occurrence rate,hospitalized patients with pressure ulcer incidence, intravenous infusion extravasation incidence, and lower extremity deep vein thrombosis rate of nursing sensitive index, the patients in the experimental group occurred rate was significantly lower than that of the control group,with significant difference（P〈0.05）. Conclusion Foreseeable nursing care has obvious advantages in the treatment of patients in the department of anus intestine surgery in the process, which can improving the quality of nursing service and the satisfaction to the nursing work.