循证护理干预在神经外科住院患者中的应用效果

Application effect of evidence-based nursing intervention in hospitalized patients of the neurosurgery department

目的探讨循证护理干预在神经外科住院患者中的应用效果。方法选取2015年10月至2017年11月接诊的神经外科住院患者83例,采用随机分组法分为对照组40例和研究组43例,对照组给予常规护理,研究组实施循证护理干预。比较两组患者的血气分析、留置针留置时间、钢针累计使用时间、并发症发生情况及护理满意度。结果研究组患者Pa O2,Pa CO2显著优于对照组(P<0.05),且留置针留置时间、钢针累计使用时间显著短于对照组(P<0.05);研究组患者消化道出血、静脉炎、肺内感染及口腔溃疡并发症发生率显著低于对照组(P<0.05);研究组患者干预后护理满意度显著高于对照组(P<0.05)。结论对神经外科住院患者实施循证护理干预,能有效稳定氧含量摄取,降低患者并发症的发生,取得良好的护理效果,临床可进一步拓展运用。

Objective To investigate the pplication effect of evidence-based nursing intervention in hospitalized patients of the neurosurgery department.Methods To select 83 cases of inpatients in the neurosurgery department who were admitted from October 2015 to November 2017 as subjects,and they were divided into control group with 40 cases and study group with 43 cases randomly.The control group received routine nursing and the study group implemented evidence-based nursing intervention.Blood gas analysis,indwelling time of indwelling needle,cumulative use time of steel needles,complications,and nursing satisfaction of the patients in the two groups were compare.Results PaO 2 and PaCO 2 in the study group were significantly better than that of the control group(P<0.05),and the retention time of the indwelling needle and the cumulative use time of the steel needle were significantly shorter than that of the control group(P<0.05).The gastrointestinal bleeding,phlebitis,intrapulmonary infection and the incidence of ulcer complications of oral cavity were significantly lower than that of the control group(P<0.05).After the intervention,the nursing satisfaction of the study group was significantly higher than that of the control group(P<0.05).Conclusion Evidence-based nursing intervention for patients undergoing neurosurgery can effectively stabilize oxygen intake,and reduce the incidence of complications.It has achieved good nursing results;therefore,the clinical application can be further expanded.