循证护理联合临床护理路径在颈肩腰腿痛患者中的应用效果

Application effects of evidence-based nursing combined with clinical nursing pathway in patients with neck,shoulder,low back and leg pain

目的:观察循证护理联合临床护理路径在颈肩腰腿痛患者中的应用效果。方法:回顾性分析2020年3月至2022年3月该院收治的82例颈肩腰腿痛患者的临床资料,按照护理方法不同将其分为对照组和观察组各41例。对照组实施常规护理,观察组实施循证护理联合临床护理路径,两组均持续护理3个月。比较两组护理前后疼痛[视觉模拟评分法(VAS)]评分、自护能力[自我护理能力测定量表(ESCA)]评分、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、生命质量[简明健康调查量表(SF-36)]评分、日常生活活动能力[Bathel指数(BI)]评分,以及护理满意度。结果:护理后,观察组VAS、HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组自护技能、自我概念、健康知识水平、自护责任感等ESCA各维度评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组SF-36、BI评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.56%(40/41),高于对照组的75.61%(31/41),差异有统计学意义(P<0.05)。结论:循证护理联合临床护理路径应用于颈肩腰腿痛患者可降低疼痛、负性情绪评分,提高自护能力、生命质量、日常生活活动能力评分和护理满意度,效果优于常规护理。

Objective:To observe application effects of evidence-based nursing combined with clinical nursing pathway in patients with neck,shoulder,low back and leg pain.Methods:The clinical data of 82 patients with neck,shoulder,low back and leg pain admitted to this hospital from March 2020 to March 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,41 cases each.The control group was given routine nursing,while the observation group was given the evidence-based nursing combined with clinical nursing pathway.Both groups received continuous nursing for 3 months.The pain[visual analogue scale(VAS)]score,the self-care ability[exercise of self-care agency scale(ESCA)]score,the negative emotion[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]score,the quality of life[short form health survey(SF-36)]score,the activities of daily living[Bathel index(BI)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the scores of VAS,HAMA and HAMD in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of ESCA dimensions such as self-care skills,self-concept,health knowledge level and self-care responsibility in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SF-36 and BI in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.56%(40/41),which was higher than 75.61%(31/41)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based nursing combined with clinical nursing pathway in the patients with neck,shoulder,low back and leg pain can reduce the scores of pain and negative emotions,improve the scores of self-care ability,quality of life,activities of daily living and the nursing satisfaction.Moreover,it is superior to the routine nursing.