循证护理在带状疱疹患者护理中的应用效果

Application Effect of Evidence-based Nursing in the Nursing of Herpes Zoster Patients

目的探讨带状疱疹患者应用循证护理的效果。方法采用单盲法将我院于2017年12月至2019年12月接收的76例带状疱疹患者分为对比组和病例组,每组38例。给予对比组常规护理,给予病例组循证护理,对比两组LANSS评分、病情恢复情况、护理满意度。结果护理前,病例组LANSS评分(17.08±3.61)分,对比组LANSS评分(17.24±3.70)分,组间对比显示两组LANSS评分无明显区别(t=0.191,P=0.849),差异无统计学意义(P> 0.05);护理后,病例组LANSS评分(9.22±2.59)分,对比组LANSS评分(11.30±2.96)分,组间对比显示病例组LANSS评分比对比组更低(t=3.260,P=0.002),差异有统计学意义(P <0.05)。病例组结痂时间(4.43±0.85)d,脱痂时间(8.77±1.63)d,优质睡眠时间(6.71±1.20)h;对比组结痂时间(5.89±1.28)d,脱痂时间(11.36±2.07)d,优质睡眠时间(5.20±1.33)h,组间对比显示,病例组结痂时间、脱痂时间均较对比组更短[(t=5.857,P=0.001)、(t=6.060,P=0.001)],且优质睡眠时间更长(t=5.196,P=0.001),差异有统计学意义(P <0.05)。病例组中有17例非常满意,19例较满意,2例不满意,护理满意度为94.74%(36/38);对比组中有13例非常满意,17例较满意,8例不满意,护理满意度为78.95%(30/38),组间对比结果显示病例组护理满意度较对比组更高(χ2=27.767,P=0.001),差异有统计学意义(P <0.05)。结论带状疱疹患者应用循证护理可以有效降低疼痛应激,促进病情恢复,提高护理满意度。

Objective To explore the effect of evidence-based nursing for herpes zoster patients. Methods Seventy-six cases of herpes zoster admitted to our hospital from December 2017 to December 2019 were divided into a comparison group and a case group by single blind method, 38 cases in each group. The comparison group was treated with routine nursing, and the case group was treated with evidence-based nursing. LANSS score, condition recovery and nursing satisfaction of the two groups were compared. Results Before nursing, LANSS score(17.08±3.61) points in the case group and(17.24±3.70) points in the comparison group were compared. There was no significant difference in LANSS score between the two groups(t=0.191, P=0.849), with no significant difference(P>0.05). After nursing, LANSS score of the case group was(9.22±2.59) points, and that of the comparison group was(11.30±2.96) points. The inter-group comparison showed that LANSS score of the case group was lower than that of the comparison group(t =3.260, P =0.002), the difference was statistically significant(P<0.05). Scab forming time(4.43±0.85) d, scab removal time(8.77±1.63) d, and quality sleep time(6.71±1.20) h in the case group. Scab forming time(5.89±1.28) d, scab removal time(11.36±2.07) d, and good sleep time(5.20±1.33) h were compared in the control group. The results showed that the scab forming time and scab removal time in the case group were both shorter than those in the control group [(t =5.857, P =0.001) and(t =6.060, P =0.001)], and the good sleep time was longer(t =5.196, P=0.001), the difference was statistically significant(P <0.05). In the case group, 17 cases were very satisfied, 19 cases were satisfied, 2 cases were not satisfied, and the nursing satisfaction was 94.74%(36/38). In the comparison group, 13 patients were very satisfied, 17 were satisfied, 8 were not satisfied, and the nursing satisfaction was 78.95%(30/38). The results of the inter-group comparison showed that the nursing satisfaction of the case group was higher than that of the comparison group(χ~2=27.767, P =0.001), and the difference was significant(P <0.05). Conclusion The application of evidence-based nursing for herpes zoster patients can effectively reduce the pain stress, promote the recovery of the disease, improve nursing satisfaction, which is worthy of promotion.