依诺肝素钠皮下注射的循证护理实践

Evidence-based nursing practice of enoxaparin sodium subcutaneous injection

目的:探讨应用循证护理的理念,预防和减轻心脏外科冠心病患者术前依诺肝素钠皮下注射的不良反应。方法:将88例择期行冠脉搭桥术的患者,随机分为对照组(44例)和观察组(44例),对照组患者按照常规皮下注射方法进行注射,不做统一规定。观察组患者按照循证护理实践方法统一要求进行皮下注射。比较干预后两组患者的疼痛发生情况及24 h后皮下出血情况。结果:干预后观察组患者疼痛发生率及24 h后皮下出血率均低于对照组,差异均有统计学意义(P<0.05)。结论:循证护理的实践可预防和减轻心脏外科冠心病患者术前依诺肝素钠皮下注射的疼痛及出血等不良反应。

Objective:To explore the application of evidence-based nursing to prevent and alleviate the adverse reactions of preoperative subcutaneous injection of enoxaparin sodium in patients with coronary heart disease in cardiac surgery.Methods:88 patients undergoing elective coronary artery bypass grafting were randomly divided into the control group (44 cases) and the observation group (44 cases).The control group was injected according to the conventional subcutaneous injection method without uniform regulations.The observation group received subcutaneous injection according to the unified requirements of evidence-based nursing practice.The incidence of pain and subcutaneous hemorrhage after 24 hours were compared between the two groups.Results:the incidence of pain and subcutaneous hemorrhage in the observation group after intervention were lower than those in the control group after 24 hours,the difference was statistically significant (P<0.05).Conclusion:Evidence-based nursing practice can prevent and alleviate the pain and bleeding caused by subcutaneous injection of enoxaparin sodium before operation in patients with coronary heart disease in cardiac surgery.