循证护理对甲状腺术后恶心呕吐的影响及护理干预对策

Effect of evidence-based nursing on postoperative nausea and vomiting in patients with thyroid surgery and nursing countermeasures

目的观察循证护理对甲状腺术后恶心呕吐的影响。方法收集76例甲状腺手术患者并分成2组,对照组实施常规护理,观察组实施循证护理,比较不同护理后恶心、呕吐发生率和满意度情况。结果对照组恶心、呕吐发生率为44.74%、34.21%,观察组为15.79%、13.16%,观察组恶心、呕吐发生率显著低于对照组,恶心呕吐评分显著高于对照组(P<0.05);观察组护理态度、护理技能、专业知识、护理差错总满意率显著优于对照组(P<0.05);对照组护理后IL-6、COR、VAS评分较护理前显著下降(P<0.05),而SAS则无显著变化(P>0.05);观察组护理后VAS、SAS评分较护理前显著下降(P<0.05),而IL-6、COR护理前后无显著变化(P>0.05);护理后,观察组IL-6、COR、VAS、SAS水平显著优于对照组(P<0.05)。结论循证护理干预能减少甲状腺术后恶心呕吐发生率,提高满意度。

Objective To observe the effect of evidence-based nursing on postoperative nausea and vomiting in patients with thyroid operation. Methods A total of 76 patients with thyroid surgery were divided into 2 groups. The control group was given routine care,while the observation group was given evidence-based nursing. The incidence rates of nausea,vomiting and satisfaction degree were compared. Results In the control group,the incidence rates of nausea and vomiting were44. 74% and 34. 21%,which were significantly higher than 15. 79% and 13. 16% in the observation group（ P〈 0. 05）. In the control group,the scores of nursing attitude and skills,professional knowledge,the total satisfaction rate of nursing errors were significantly worse than the observation group（ P〈 0. 05）. In the control group,the IL-6,COR,VAS after nursing significantly decreased（ P〈 0. 05）,and SAS had no change（ P〉 0. 05）. After nursing in the observation group,the VAS,SAS score decreased significantly（ P〉 0. 05）,and IL-6,COR had no change（ P〈 0. 05）. IL-6,COR,VAS in observation group after nursing and SAS score were significantly higher than those in the control group（ P〈 0. 05）. Conclusion Evidence-based nursing can reduce the incidence rates of postoperative nausea and vomiting and improve the satisfaction degree of patients with thyroid surgery.