摘要
目的探讨循证护理在腹部手术后患者自控镇痛中的应用。方法选择2008-2009年进行腹部手术后行自控镇痛(patient controlled analgesia,PCA)的患者208例,其中2008年1-12月的106例患者为对照组,实施常规护理;2009年1-12月的102例患者为干预组,实施循证护理。结果干预组术后6、243、6 h的疼痛评分均低于对照组,差异有统计学意义(P<0.01);干预组健康宣教知识的掌握率高于对照组,差异有统计学意义(P<0.01);干预组术后恶心呕吐、腹胀及导管扭曲脱落发生率低于对照组,差异有统计学意义(P<0.01和P<0.05)。结论循证护理将所获得的证据与护理经验和患者的实际情况相结合,对可能发生的不良反应采取预见性护理干预,有效地降低了患者术后疼痛及不良反应发生率,患者在获得相关健康宣教知识的同时增强了对护理的依从性。
Objective To explore the effects of evidence-based nursing applied for the patient-controlled analgesia（PCA） in patients with abdominal surgery.Methods A total of 208 patients using PCA after abdominal surgery from 2008 through 2009 were enrolled and divided into the intervention group（January-December 2009,n=102） with evidence-based nursing and the control group（January-December 2008,n=106） with abdominal routine nursing.Results The pain scores at 6,24,36 h were significantly lower in the intervention group than those in the control group（P0.01）;The proportion of health-education knowledge was gained significantly higher in the intervention group than that in the control group（P0.01）.The incidences of nausea,vomiting,abdominal distension and catheter distortion loss were significantly lower in the intervention group than those in the control group（P0.01 or P0.05）.Conclusion The evidence-based nursing combine the available evidence and nursing experience with patients＇ actual situation,which can provide practive nursing interventions for the possible adverse reactions and effectively reduce the incidences of postoperative pain and adverse reactions;Meanwhile,patients get access to related health knowledge and enhance the nursing compliance.
出处
《解放军护理杂志》
2010年第17期1284-1286,1354,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
循证护理
腹部手术
自控镇痛
evidence-based nursing
abdominal surgery
patient-controlled analgesia
