循证护理在胆结石手术患者中的应用效果

Application effects of evidence-based nursing in patients with gallstone surgeries

目的:观察循证护理在胆结石手术患者中的应用效果。方法:选取2019年6月至2022年1月该院收治的92例胆结石手术患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各46例。对照组实施常规护理,观察组在对照组基础上实施循证护理,两组均护理至患者出院。比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[胃肠道生活质量指数(GIQLI)]评分,术后不同时间(术后1、3、5 d)疼痛程度[视觉模拟评分法(VAS)]评分,以及护理满意度。结果:护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组躯体生理功能状态、自觉症状、日常社会活动状态、心理情绪状态等GIQLI各维度评分均高于对照组,差异有统计学意义(P<0.05);术后3、5 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为91.30%,高于对照组的71.74%,差异有统计学意义(P<0.05)。结论:循证护理应用于胆结石手术患者可缓解负性情绪,提高生命质量和护理满意度,减轻疼痛,效果优于常规护理。

Objective:To observe application effects of evidence-based nursing in patients with gallstone surgeries.Methods:A prospective study was conducted on 92 patients with gallstone surgeries admitted to the hospital from June 2019 to January 2022.They were divided into observation group and control group according to the random number table method,46 cases in each.The control group was given routine nursing,while the observation group was given evidence-based nursing on the basis of that of the control group.Both groups were treated until the patient was discharged.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life[gastrointestinal quality of life index(GIQLI)],the scores of pain degree[visual analogue scale(VAS)]at different time after the surgery(1,3 and 5 d after the surgery),and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of GIQLI dimensions such as physical physiological function status,subjective symptoms,daily social activity status,psychological and emotional status in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).3 and 5 days after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 91.30%,which was higher than 71.74%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based nursing in the patients with gallstone surgeries can alleviate the negative emotions,improve the quality of life and the nursing satisfaction,and reduce the pain.Moreover,it is superior to the routine nursing.