循证护理在上消化道出血护理中的应用效果观察

Effect of Application of Evidence-Based Nursing in Upper Gastrointestinal Bleeding

目的总结探讨上消化道出血应用循证护理的效果和价值。方法随机2016年2月—2017年7月选取98例上消化道出血患者,随机平均分为两组。常规组采用常规护理方案,研究组则在常规护理基础上加用循证护理,对比两组SAS、SDS评分、出血状况、护理认可度。结果护理前两组SAS、SDS评分评分无差异(P>0.05);护理后研究组疾SAS、SDS评分均低于常规组(P<0.05);研究组出血次数和止血时间都低于常规组(P<0.05);研究组护理认可度为91.84%,显著高于常规组护理认可度(81.63%,P<0.05)。结论在对上消化道出血护理过程中采用循证护理不仅能使患者的心理状态得到优化,而且能够减少止血时间和出血次数,提高患者对护理的认可度。

Objective To investigate the effect and value of evidence-based nursing for upper gastrointestinal bleeding. Methods From February 2016 to July 2017,98 patients with upper gastrointestinal bleeding were randomly divided into two groups. Conventional nursing program was used in the routine group. Evidence-based nursing was used in the study group on the basis of routine nursing care. SAS and SDS scores,bleeding status and nursing acceptance were compared between the two groups. Results There was no significant difference in SAS and SDS scores between the two groups before nursing(P>0.05). SAS and SDS scores of the study group after nursing were lower than those of the conventional group(P<0.05). The degree of nursing approval in study group was 91.84%,which was significantly higher than that in routine group(81.63%,P<0.05). Conclusion The use of evidence-based nursing in the process of upper gastrointestinal bleeding nursing can not only optimize the psychological status of the patients,but also reduce the bleeding time and the number of bleeding and improve the recognition of nursing care.