分析探讨循证护理在神经外科疾者者中的护理效果

Nursing Effect of Evidence-based Nursing in Patients with Neurosurgery Diseases

目的探究循证护理对神经外科患者的护理效果,进一步完善该院对神经外科患者的护理对策。方法整群选取该院2016年7月―2017年3月所收治的226例神经外科患者的临床治疗资料,采用随机分组的方式将全部患者分为对照组A(常规护理对策)和对照组B(循证护理对策),每组各有患者113例,对比两组患者的护理效果。结果对比两组患者的干预效果,以及并发症的发生情况,对照组A中患者的干预效果为65.49%,对照组B中患者的干预效果为91.15%,对照组B优于对照组A,差异有统计学意义(P<0.05,χ2=6.283)。对照组A中出现神经损伤者7例,占比6.19%;出现脊髓损伤者6例,占比5.31%;出现被褥疮者7例,占比6.19%,并发症发生率为17.70%。对照组B中有2例出现神经损伤,占总数的1.77%,有1例出现脊髓损伤,占总数的0.88%;有1例出现被褥疮,占总数的0.88%,并发症发生率为3.54%,对照组B优于对照组A,差异有统计学意义(P<0.05,χ2=5.114)。结论循证护理对策能够效果提升对神经外科患者的护理质量,提升治疗效果、降低并发症、改善患者护理满意度,给患者提升更好的临床护理体验,应于临床推广使用。

Objective This paper tries to explore the effect of evidence-based nursing care on patients of neurosurgery department, and to further improve the nursing countermeasures of patients in department of neurosurgery. Methods The clinical data of 226 cases from department of neurosurgery in this hospital from July 2016 to March 2017 were group selected and divided into control group A（conventional nursing） and control group B（evidence-based nursing countermeasures） by random grouping method, with 113 patients in each group, the nursing effects between the two groups of patients were compared. Results Intervention effect and complications of patients in two groups were compared. The intervention effect of patients in the control group A was 65.49%, the intervention effect was 91.15% in control group B, better than that of control group A,（χ^2=6.283,P〈0.05）, with statistical difference. In the control group A, there were 7 nerve injury patients, accounting for 6.19%. Six people with spinal cord injuries accounted for 5.31%. 7 patients had pressure ulcer, accounting for 6.19%.The incidence rate of complication was 17.70 %. In the control group B, there were 2 patients with nerve injury, accounting for 1.77%, and 1 had a spinal cord injury, accounting for 0.88%. 1 had pressure ulcer, accounting for 0.88%. The incidence rate of complications was 3.54%, better than the control group A（χ^2=5.114,P〈0.05）, with statistical difference. Conclusion The evidence-based nursing measures can promote the effect of nursing quality of patients, improve the therapeutic effect,reduce the complications, improve nursing satisfaction of patients, and improve patient clinical nursing experience, which should be applied in clinical practice.