循证护理在胃肠外科管道护理中的应用价值分析(1)
【摘 要】目的：探讨循证护理在胃肠外科管道护理中的应用价值。方法：选自2017年10月～2018年12月我方医院收治的78例胃肠外科手术治疗且留置导管患者。采用随机数字表法均分为两组。对照组39例患者采取常规护理。在此基础上观察组39例患者实施循证护理。对比两组非计划拔管、意外脱管总发生率及SCL-90自评量表评分等指标。结果：观察组39例患者非计划拔管、意外脱管总发生率明显低于对照组，对比差异有统计学意义(P<0.05)。观察组39例患者SCL-90自评量表明显优于对照组39例患者，对比差异有统计学意义(P<0.05)。结论：应用循证护理可有效增强对胃肠外科管道护理水平，可降低非计划拔管风险。值得临床推广与关注。
【关键词】;胃肠外科管道护理;循证护理;肠道反应;消化功能
Abstract Objective： To explore the application value of evidence-based nursing in gastrointestinal surgical pipeline nursing. Methods： Seventy-eight patients with gastrointestinal surgery and indwelling catheters were enrolled in our hospital from October 2017 to December 2018. They were divided into two groups by random number table method. 39 patients in the control group received routine care. On this basis， 39 patients in the observation group were treated with evidence-based care. The two groups were compared with the unplanned extubation， the total incidence of accidental dislocation and the SCL-90 self-rating scale. Results： The total incidence of unplanned extubation and accidental dissection in the observation group was significantly lower than that in the control group， and the difference was statistically significant (P<0.05). The SCL-90 self-rating scale of the observation group was significantly better than the control group of 39 patients， and the difference was statistically significant (P<0.05). Conclusion： The application of evidence-based nursing can effectively improve the level of care for gastrointestinal surgery and reduce the risk of unplanned extubation. It is worthy of clinical promotion and attention.
Keywords; gastrointestinal surgery pipeline nursing; evidence-based nursing; intestinal response; digestive function
【中圖分类号】R473 【文献标识码】B 【文章编号】1672-3783(2019)06-03--01
胃肠外科手术治疗后早期肠胃功能明显减退，其是创伤抑制的主要反应之一。由于胃肠外科手术患者往往在术后2d～3d时才能缓慢解除胃肠运动抑制现象，会使得胃肠外科手术患者的术后康复较为缓慢，为此临床普遍给予胃管留置以促进胃肠道功能恢复，并且胃管留置还有利于降低胃肠道压力，加快胃肠运动抑制现象的解除，但是在胃管留置后有较高风险发生非计划拔管，如何提升胃肠外科管道护理水平是临床重点关注的课题[1]。近年来有研究表明采用循证护理可消除既往胃肠外科护理工作不仔细、患者鼻翼部汗液影响胶布黏性等相关诱因，有利于预防非计划拔管，进而改善患者术后心理状态[2]。为此，本文通过对2017年10月～2018年12月收治的39例胃肠外科手术治疗且留置导管患者实施循证护理，旨在为临床采用循证护理提高胃肠外科手术治疗且留置导管护理水平提供依据。具体报告如下。
1 临床资料与方法
1.1 临床资料
选自2017年10月～2018年12月我方医院收治的78例胃肠外科手术治疗且留置导管患者。采用随机数字表法均分为两组。78例患者及其家属均对本研究知情并签署知情协议书。本研究获得伦理委员会批准。
纳入标准：均为胃肠外科手术治疗且留置导管者。
排除标准：(1)智力障碍者。(2)双相情感障碍者。
对照组39例患者采取常规护理。对照组39例患者中年龄最小的38.5岁，年龄最大的75.8岁，平均年龄(46.25±8.39)岁，其中男22例，女17例。在此基础上观察组39例患者实施循证护理。观察组患者年龄最小的37.2岁，年龄最大的75.9岁，平均年龄(47.48±10.14)岁，其中男23例，女16例。两组资料无明显差异(P>0.05)。, http://www.100md.com(唐瑞)
【关键词】;胃肠外科管道护理;循证护理;肠道反应;消化功能
Abstract Objective： To explore the application value of evidence-based nursing in gastrointestinal surgical pipeline nursing. Methods： Seventy-eight patients with gastrointestinal surgery and indwelling catheters were enrolled in our hospital from October 2017 to December 2018. They were divided into two groups by random number table method. 39 patients in the control group received routine care. On this basis， 39 patients in the observation group were treated with evidence-based care. The two groups were compared with the unplanned extubation， the total incidence of accidental dislocation and the SCL-90 self-rating scale. Results： The total incidence of unplanned extubation and accidental dissection in the observation group was significantly lower than that in the control group， and the difference was statistically significant (P<0.05). The SCL-90 self-rating scale of the observation group was significantly better than the control group of 39 patients， and the difference was statistically significant (P<0.05). Conclusion： The application of evidence-based nursing can effectively improve the level of care for gastrointestinal surgery and reduce the risk of unplanned extubation. It is worthy of clinical promotion and attention.
Keywords; gastrointestinal surgery pipeline nursing; evidence-based nursing; intestinal response; digestive function
【中圖分类号】R473 【文献标识码】B 【文章编号】1672-3783(2019)06-03--01
胃肠外科手术治疗后早期肠胃功能明显减退，其是创伤抑制的主要反应之一。由于胃肠外科手术患者往往在术后2d～3d时才能缓慢解除胃肠运动抑制现象，会使得胃肠外科手术患者的术后康复较为缓慢，为此临床普遍给予胃管留置以促进胃肠道功能恢复，并且胃管留置还有利于降低胃肠道压力，加快胃肠运动抑制现象的解除，但是在胃管留置后有较高风险发生非计划拔管，如何提升胃肠外科管道护理水平是临床重点关注的课题[1]。近年来有研究表明采用循证护理可消除既往胃肠外科护理工作不仔细、患者鼻翼部汗液影响胶布黏性等相关诱因，有利于预防非计划拔管，进而改善患者术后心理状态[2]。为此，本文通过对2017年10月～2018年12月收治的39例胃肠外科手术治疗且留置导管患者实施循证护理，旨在为临床采用循证护理提高胃肠外科手术治疗且留置导管护理水平提供依据。具体报告如下。
1 临床资料与方法
1.1 临床资料
选自2017年10月～2018年12月我方医院收治的78例胃肠外科手术治疗且留置导管患者。采用随机数字表法均分为两组。78例患者及其家属均对本研究知情并签署知情协议书。本研究获得伦理委员会批准。
纳入标准：均为胃肠外科手术治疗且留置导管者。
排除标准：(1)智力障碍者。(2)双相情感障碍者。
对照组39例患者采取常规护理。对照组39例患者中年龄最小的38.5岁，年龄最大的75.8岁，平均年龄(46.25±8.39)岁，其中男22例，女17例。在此基础上观察组39例患者实施循证护理。观察组患者年龄最小的37.2岁，年龄最大的75.9岁，平均年龄(47.48±10.14)岁，其中男23例，女16例。两组资料无明显差异(P>0.05)。, http://www.100md.com(唐瑞)