循证实践在妇幼专科医院急诊护理中的应用价值

Application value of evidence-based practice in emergency nursing of maternal and child specialized hospital

目的探讨循证实践在妇幼专科医院急诊护理中的应用价值,为提高妇幼专科医院急诊护理效果及护理质量提供依据.方法随机抽取2014-05至2016-07期间在广西壮族自治区妇幼保健院急诊科就诊的患者,采用传统管理模式进行临床护理管理(对照组),纳入260人;随机抽取2016-08至2018-08期间在本科就诊的患者,采取循证实践管理模式进行临床护理管理(观察组),纳入260人.详细观察两组的护理效果、护理质量,并对比两组之间的差异.结果观察组的护理效果(护患纠纷发生率、抢救有效率、意外事件发生率、患者及家属满意度)优于对照组,两组比较差异有统计学意义(P<0.05);观察组的护理质量(护理记录、基础护理、病房管理、病历书写、意外事件处理)评分高于对照组,两组比较差异有统计学意义(P<0.05).结论循证管理在妇幼专科医院急诊护理中应用效果相对较好,能够在一定程度上提高护理质量,具有推广应用价值.

Objective The objective of this study was to explore the application value of evidence-based practice in emergency nursing in MCH, and to provide basis for improving the effect and quality of emergency nursing in MCH. Methods From May 2014 to July 2016, patients in the emergency department of Guangxi Zhuang Autonomous Region maternal and child health care hospital were randomly selected, and 260 patients were enrolled in the traditional management mode for clinical nursing management (control group);from August 2016 to August 2018, patients in the undergraduate course were randomly selected, and 260 patients were enrolled in the evidence-based practice management mode for clinical nursing management (Trial Group). The nursing effect and quality of the two groups were observed in detail, and the differences between the two groups were compared. Results The nursing effect of the observation group was better than that of the control group (the rate of disputes between nurses and patients, the efficiency of rescue, the incidence of accidents, the satisfaction of patients and their families), and the differences between the two groups were statistically significant (P<0.05);the nursing quality of the observation group (nursing record, basic nursing, ward management, medical record writing, accident handling) was higher than that of the control group, and the differences between the two groups were statistically significant (P<0.05). Conclusions The application of evidence-based management in emergency nursing of MCH is relatively good, which can improve the quality of nursing to a certain extent, and has the value of popularization and application.