循证护理在急性阑尾炎阑尾切除术后并发症中的应用效果

Effect of Evidence-based Nursing on the Complications after Appendectomy for Acute Appendicitis

目的探究循证护理在急性阑尾炎阑尾切除术后并发症中的应用效果,为临床护师选择合理护理方案提供参考。方法选取2018年5月至2019年4月在义县人民医院接受阑尾切除术治疗的86例急性阑尾炎患者,按照入院先后顺序编号,随机分为对照组、试验组,各43例。对照组患者给予常规护理措施,试验组患者接受循证护理干预,比较两组患者的疼痛情况、并发症发生率和护理满意度。结果两组患者术后1 d视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05);两组术后7 d VAS评分均较之前降低,且试验组更低,差异有统计学意义(P<0.05);试验组患者的并发症发生率为2.33%,低于对照组的13.96%,差异有统计学意义(P<0.05);试验组患者的护理满意度为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05);试验组的下床活动时间、排便时间、住院时间短于对照组,住院费用少于对照组,差异有统计学意义(P<0.05)。结论在急性阑尾炎阑尾切除术患者的临床护理中,积极预防术后并发症发生意义重大,循证护理能够满足这一需求,患者满意度较高,值得在临床护理工作中借鉴。

Objective To explore the application effect of evidence-based nursing in the complications after appendectomy of acute appendicitis,so as to provide reference for clinical nurse to choose reasonable nursing plan.Methods From May 2018 to April 2019,86 patients with acute appendicitis who received appendectomy treatment in Yixian People’s Hospital were selected for the study.According to the sequence of admission,they were randomly divided into control group and test group,43 cases in each group.The patients in the control group were given routine nursing measures.The patients in the experimental group received evidence-based care.The pain,complication rate and nursing satisfaction of the two groups were compared.Results There was no significant difference in the first day postoperative visual analogue scale(VAS)score between the two groups(P>0.05).After 7 days,the VAS scores of the two groups were lower than before,the difference was statistically significant(P<0.05),and the VAS score of the experimental group was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was 2.33%,lower than that in the control group(13.96%),the difference was statistically significant(P<0.05);the nursing satisfaction in the experimental group was 95.35%,higher than 79.07%in the control group,the difference was statistically significant(P<0.05).The experimental group’s time to get out of bed,defecation time and hospital stay were shorter than those of the control group,and the hospitalization expenses were lower than those of the control group,the difference was statistically significant(P<0.05).Conclusion In the clinical nursing of patients with acute appendicitis appendectomy,it is of great significance to actively prevent postoperative complications.Evidence-based nursing can meet this demand,and patients’satisfaction is high,which is worth learning from in the clinical nursing work.