危重结核病护理中循证护理的应用分析

Analysis on the Application of Evidence-based Nursing in Critical Tuberculosis Nursing

目的研究并分析循证护理在危重结核病护理中的应用价值。方法在2018年2月至2019年7月的时间区间内,选择我院收治的危重结核病患者90例为作为研究样本,以数字抽签的方式随机将所有患者分为对照组和观察组,每组各有人数45例。对照组实施常规护理,观察组应用常规护理基础上的循证护理,通过分析患者的基础资料,构建询证护理的重点,即高热、排痰困难和压疮。在确定询证重点后,构建询证护理小组,并对患者进行针对性的护理干预。比较两组患者的退热时间和排痰困难症状改善时间,对比两组患者的压疮发生率和护理满意度。结果观察组退热时间与排痰困难症状改善时间的指标分别为(1.76±1.03)d、(2.79±1.26)d,均低于对照组的相关指标,差异具有统计学意义,且P<0.05;观察组中发生压疮的患者仅有1例,发生率为2.22%,显著低于对照组的31.11%(14/45),差异P<0.05;观察组护理满意度为95.56%(43/45),与对照组的73.33%(33/45)而言,差异具有统计学意义(P<0.05)。结论对危重结核病患者应用循证护理,能有效改善患者的临床症状,提升患者的护理满意度,在临床中的可行性较大。

Objective To study and analyze the application value of evidence-based nursing in critical tuberculosis nursing.Methods In the period from February 2018 to July 2019,90 critically ill TB patients in our hospital were selected as research samples.All patients were randomly divided into control group and observation group by means of digital lottery,with 45 patients in each group.The control group was given routine nursing,and the observation group was given evidence-based nursing based on routine nursing.By analyzing the basic data of patients,the key points of inquiry nursing were constructed,that is,high fever,difficulty in expectoration and pressure sore.After confirming the key points of inquiry,the inquiry nursing group was established,and the patients were given targeted nursing intervention.The antipyretic time and the improvement time of dysphagia were compared between the two groups,and the incidence of bedsore and nursing satisfaction were compared.Results The indexes of antipyretic time and improvement time of dysphagia in the observation group were(1.76±1.03)days and(2.79±1.26)days,respectively,which were lower than those in the control group,the difference was statistically significant(P<0.05);there was only one case of bedsore in the observation group,the incidence was 2.22%,which was significantly lower than 31.11%(14/45)in the control group,the difference was P<0.05;the nursing satisfaction of the observation group was statistically significant(P<0.05)The difference was statistically significant(P<0.05).Conclusion The application of evidence-based nursing in critical TB patients can effectively improve the clinical symptoms of the patients and improve the patients’nursing satisfaction,which is more feasible in clinical practice.