循证护理应用于卵巢良性肿瘤患者术后下床活动时对跌倒的预防作用

Application of evidence-based nursing in the prevention of fall after ovariectomized patients

目的通过采取循证护理的方式,探讨其对卵巢良性肿瘤患者术后下床活动跌倒的预防作用。方法选取2011年6月至2015年3月本院收治的238例因卵巢良性肿瘤而住院治疗的手术患者,随机分为实验组(循证护理)和对照组(常规护理),各119例,比较两组患者的基本情况、跌倒风险、预防跌倒依从性、预防跌倒知识认知度、跌倒发生及伤害构成。结果两组患者基本情况比较差异均无统计学意义;护理后,实验组轻度风险等级显著高于对照组,高度风险等级显著低于对照组(P<0.05);实验组依从性很好显著高于对照组,实验组依从性一般及不好显著低于对照组(P<0.05);实验组跌倒预防知识认知度高于对照组(P<0.05);两组患者跌倒发生情况比较差异有统计学意义(P<0.05),其中实验组擦伤、小挫伤、头皮血肿等伤害的发生率显著低于对照组(P<0.05)。结论循证护理的应用对于卵巢良性肿瘤患者术后下床活动时具有预防跌倒的作用,值得临床推广。

Objective Through the way of evidence-based nursing,to explore the prevention of ovarian benign tumor patients after the fall of bed activity.Methods From June 2011 to March 2015,238 patients who were hospitalized with ovarian benign tumors in our hospital,and they were randomly divided into experimental group(evidence-based nursing)and control group(routine nursing),with 119 cases in each group.Compared the basic situation,the risk of falls,the prevention of falls compliance,the prevention of falling knowledge awareness,falls and injuries between two groups.Results The basic situation of the two groups was not statistically significant difference(P<0.05).The number of patients with mild risk level in the experiment group after care was significantly higher than that in the control group,and the experimental group with high risk level was significantly lower than the control group(P<0.05).The compliance of the experimental group was significantly higher than that of the control group,and the compliance of the experimental group was generally and poorly lower than that of the control group(P<0.05).In the experimental group,the knowledge recognition rate was higher than that in the control group.The difference was statistically significant between the two groups(P<0.05),and the incidence of injury such as bruising,minor contusion,and scalp hematoma was significantly lower in the experimental group(P<0.05).Conclusion The application of evidence-based nursing for the ovarian benign tumor patients after surgery to get out of bed with the role of prevention of falls,worthy of clinical promotion.