循证护理在乙型肝炎肝硬化患者中的应用效果分析

Application Effect analysis of Evidence-based Nursing in Patients with Hepatitis B Cirrhosis

目的分析研究循证护理在乙型肝炎肝硬化患者中的应用效果。方法收集2017年4月至2020年1月本院接治的乙型肝炎肝硬化患者90例开展研究,采取分别抽样法分组,即采纳常规护理的对照组(n=45)和循证护理的观察组(n=45),对比护理满意度、并发症发生率、生活质量及SAS、SDS评分。结果与对照组(84.44%)相比,观察组护理满意度(97.78%)更高(χ^(2)=4.939,P<0.05)。与对照组(15.56%)相比,观察组并发症发生率(2.22%)更低,(χ^(2)=4.939,P<0.05)。护理前,两组数据对比无统计学差异,P>0.05;护理后,与对照组SAS、SDS评分相比,观察组(42.38±1.35)、(41.33±3.47)更低,(t=20.348、14.238,P<0.05)。与对照组各项指标相比,观察组评分更高(t=10.125、6.555、13.725、13.918,P<0.05)。结论实施循证护理对乙型肝炎肝硬化患者具有降低并发症发生率、提高生活质量的效果,患者的护理满意度也随着提升。

Objective To analyze the application effect of evidence-based nursing in patients with hepatitis B cirrhosis.Methods From April 2017 to January 2020,a total of 90 patients with hepatitis B cirrhosis in our hospital were collected and divided into control group(n=45)receiving routine nursing care and observation group(n=45)receiving evidence-based nursing.Nursing satisfaction,complication rate,quality of life,SAS and SDS scores were compared.Results Compared with the control group(84.44%),the observation group(97.78%)was higher(χ^(2)=4.939,P<0.05).Compared with the control group(15.56%),the observation group(2.22%)was lower(χ^(2)=4.939,P<0.05).Before nursing,there was no statistical difference between the two groups,P>0.05;after nursing,compared with the control group,SAS and SDS scores of the observation group were lower(42.38±1.35),(41.33±3.47),(t=20.348,14.238,P<0.05).Compared with the control group,the score of observation group was higher(t=10.125,6.556,13.725,13.918,P<0.05).Conclusion The implementation of evidence-based nursing has the effect of reducing the incidence of complications and improving the quality of life of patients with hepatitis B cirrhosis.