以循证为基础的临床护理路径对老年腹股沟疝患者康复效果及满意度的影响

Effect of evidence-based clinical nursing pathway on rehabilitation outcome and satisfaction of elderly inguinal hernia patients

目的探讨以循证为基础的临床护理路径对老年腹股沟疝患者康复效果及满意度的影响。方法选择2018年1月至2021年1月于新疆维吾尔自治区人民医院收治的老年腹股沟疝患者120例作为研究对象,按照护理方法不同分为2组,每组60例。对照组采用常规医院护理的方法,研究组采用循证护理的方法。对比2组患者对循证护理的满意度,观察患者住院时间等的变化,对比2组患者不良反应的发生情况,分析2组患者的护理质量,对比2组患者护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)的评分。结果研究组患者护理总满意度为93.34%,明显高于对照组73.34%(P<0.05)。研究组患者下床活动时间、住院时间以及进食时间明显低于对照组(P<0.05)。研究组研究对象的不良表现发生率为5.00%,明显低于对照组16.67%(P<0.05)。研究组患者心理疏导、用药指导和并发症预防情况明显优于对照组(P<0.05)。护理前,研究组与对照组患者SAS、SDS评分无明显变化(P>0.05);护理后,研究组与对照组患者SAS、SDS评分较护理前明显降低,且研究组明显低于对照组(P<0.05)。结论以循证为基础的临床护理路径对老年腹股沟疝患者康复效果较佳,患者满意度较高。

Objective To explore the effect of an evidence-based clinical nursing pathway on the rehabilitation effect and satisfaction of elderly patients with inguinal hernia.Methods From January 2018 to January 2021,the elderly hernia patients collected and treated in Xinjiang People's Hospital were selected as the target cases of this study.The selected subjects were randomly divided into control and experimental groups,a total of 120 cases,60 in each group.The control group was given routine nursing methods,and the study group was given evidence-based nursing methods.The satisfaction of patients in the two groups of evidence-based nursing was compared,the changes in patients'length of stay were observed,the occurrence of adverse reactions of patients in the two groups was compared,the nursing quality of patients in the two groups was analyzed,and the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients in the two groups were compared before and after nursing.Results(1)The satisfaction of case nursing in the study group was 93.34%,obviously higher than that in the control group(73.34%;P<0.05).(2)The time of getting out of bed,eating food and staying in hospital were significantly shorter in the study group than in the control group(P<0.05).(3)The adverse reaction rate of the study subjects in the control group was 16.67%,which was obviously greater than the target adverse reaction rate of the study group,which was 5%,(P<0.05).(4)The performance of the study group's goal of psychological dredging and prevention of complications and medication orders was better than that of the control group's goal(P<0.05);(5)Before nursing,there were no significant changes in SAS and SDS scores between the study group and the control group(P>0.05);After nursing,SAS and SDS scores of patients in the study group and the control group were significantly lower than before nursing,and the study group was significantly lower than the control group(P<0.05).Conclusion An evidence-based clinical nursing pathway has better rehabilitation effects for elderly patients with inguinal hernia and higher patient satisfaction,which is worthy of clinical promotion.