循证护理对血液净化治疗后穿刺点重度出血患者的护理效果

Nursing Effect of Evidence-based Nursing on Patients with Severe Bleeding after Puncture Point after Blood Purification Treatment

目的探析循证护理在血液净化治疗后穿刺点重度出血患者护理中的临床应用效果。方法方便选取2012年1月—2018年2月行血液净化治疗后穿刺点重度出血的42例患者为主要研究对象,分为两组,各21例。对照组和观察组分别行常规护理、循证护理,对比护理效果。结果观察组的止血成功率为100.00%,对照组的成功率为80.95%,两组对比,差异有统计学意义(X^2=4.421,P<0.05);观察组的感染发生率明显低于对照组,两组差异有统计学意义(4.76%vs 28.57%,X^2=4.287,P<0.05);经护理后,焦虑评分[(28.25±2.69)分vs (36.74±2.16)分]、抑郁负面情绪评分[(29.63±3.74)分vs (37.88±3.45)分]均明显优于对照组,组间比较差异有统计学意义(t=11.277、7.430,P<0.05);观察组患者在护理流程[(90.66±2.13)分vs (85.64±2.56)分]、健康教育[(91.55±2.36)分vs (85.77±2.14)分]、服务态度[(92.31±3.28)分vs (87.45±3.33)分]、应急处理[(95.58±2.11)分vs (88.87±2.37)分]等方面的满意度评分均明显高于对照组,差异有统计学意义(t=6.907、8.314、4.765、9.690,P<0.05)。结论对于血液净化治疗后穿刺点重度出血患者,在临床实施循证护理可提高止血成功率,降低出血后的并发症发生率,同时可以改善患者的负面情绪,提高患者满意度,故值得在临床上进一步推广应用。

Objective To analyze the clinical application effect of evidence-based nursing in the nursing of patients with severe bleeding after puncture. Methods Forty-two patients with severe hemorrhage at the puncture site after blood purification treatment from January 2012 to February 2018 were convenient selected as the main subjects, divided into two groups, 21 cases each. The control group and the observation group were treated with routine nursing and evidence-based nursing, and the nursing effects were compared. Results The success rate of hemostasis in the observation group was100.00%, and the success rate in the control group was 80.95%. The difference between the two groups was statistically significant（X^2=4.421, P〈0.05）. The incidence of infection in the observation group was significantly lower than that in the control group. The difference between the two groups was statistically significant（4.76% vs 28.57%, X^2=4.287, P〈0.05）. After nursing, the anxiety of the observation group [（28.25 ±2.69）points vs（36.74 ±2.16）points] and depression negative emotion score [（29.63±3.74）points vs（37.88±3.45）points] were significantly better than the control group. There were significant differences between the groups（t=11.277, 7.430, P〈0.05）. The patients in the observation group were in the nursing process[（90.66±2.13）points vs（85.64±2.56）points]. The satisfaction scores of health education [（91.55 ±2.36）points vs（85.77±2.14）points], service attitude [（92.31±3.28）points vs（87.45±3.33）points], emergency treatment [（95.58±2.11）points vs（88.87±2.37）points] were significantly higher than the control group. Statistically significant（t =6.907, 8.314, 4.765, 9.690, P 〈0.05）.Conclusion For patients with severe hemorrhage after puncture treatment, the implementation of evidence-based nursing in clinical practice can improve the success rate of hemostasis, reduce the incidence of complications after hemorrhage, improve the negative emotions of patients and improve patient satisfaction, so it is worthy of clinical Further promote the application.