循证护理对老年普外手术患者症状与自我效能的影响

Effects of Evidence-based Care on Symptoms and Self-efficacy in Elderly Patients Underwent General Surgery

目的研究循证护理对老年普外手术患者症状与自我效能的影响。方法按照随机数字表法的相关要求从2016年1月—2017年1月来我院治疗的老年普外手术患者中选取72例作为研究对象,依据护理措施的不同将其进行分组,其中接受普外常规护理模式的设为对照组,接受循证护理模式的设为试验组,比较不同护理措施对患者症状以及自我效能的影响。结果和对照组相比,试验组患者的自我效能总分较高,而汉密尔顿焦虑量表(HAMA)与汉密尔顿抑郁量表(HAMD)评分较低,组间比较差异具有统计学意义(P<0.05)。结论老年普外手术患者接受循证护理,有助于增加患者的自我效能感,降低负面情绪对治疗结果的影响,可以在临床应用。

Objective To study the effect of evidence-based nursing on elderly patients with symptoms of general surgery and self efficacy. Methods In accordance with the relevant requirements, 72 cases of the elderly general surgery patients in our hospitalwere selected as the research object from January 2016 to January 2017 and equally divided into experimental group and the control group according to the different nursing methods. The control group was given the traditional clinical nursing model, experimental group was given the positively evidence-based nursing. After nursing, the self-efficacy scores of patients in the two groups were compared. Results Compared with the control group, the total score of the patients in the test group was higher than that in the control group. The Hamilton Anxiety Scale （HAMA） and the Hamilton Depression Scale （HAMD） score were lower, The difference between the groups was statistically signifcant （P 〈 0.05）. Conclusion Elderly patients with abdominal surgery received evidence-based nursing, helps to increase patients＇ self-efficacy, reduce the impact of negative emotions on the treatment results, it can be used in clinical.[