循证护理对儿童肾穿刺活检术并发症预防的影响(1)
[摘要] 目的 探討循证护理对儿童肾穿刺活检术(percutaneous renal biopsy，PRB)并发症预防的影响。方法 方便选取2016—2018年期间至该院接受儿童肾穿刺活检术治疗取得其家长及本人同意和支持的96例患儿作为研究主体，根据患儿护理措施的差异性将其分成对比组(n=48)和研究组(n=48)，给予对比组患儿常规手术操作和护理，研究组在对比组的基础上实施循证护理。观察对比入组患儿的并发症发生率、SAS评分变化及护理满意度情况。结果 研究组患儿的并发症发生率如下：腰部疼痛12.5%，尿潴留2.0%，肉眼血尿4.1%，与对比组的20.8%、12.5%、14.5%相比明显较低，数据差异有统计学意义(χ2=5.260，P<0.05);干预前两组患儿的SAS评分差异无统计学意义(t=2.030，P>0.05)，干预后，研究组患儿的SAS评分(30.15±5.26)分明显低于对比组(37.65±5.23)分，数据差异有统计学意义(t=11.801，P<0.05);两组患者的护理满意度相比，研究组明显高于对比组(95.8% vs 81.2%)，数据差异有统计学意义(χ2=13.801，P<0.05)。 结论 为接受肾穿刺活检术的患儿进行循证护理，可明显降低患者的并发症，同时缓解患儿的焦虑情绪，对提升患者的护理满意度也具有积极的促进作用，值得推广使用。
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[关键词] 循证护理;儿童;肾穿刺活检术;并发症;预防
[中图分类号] R472 [文献标识码] A [文章编号] 1674-0742(2019)08(b)-0127-03
[Abstract] Objective To investigate the effect of evidence-based nursing on the prevention of complications in children with percutaneous renal biopsy (PRB). Methods Ninety-six children with parental consent and support from the children who underwent renal biopsy in our hospital from 2016 to 2018 were convenient selected as subjects. According to the differences in nursing measures， the children were divided into comparison group (n=48) and the study group (n=48)， the patients in the comparison group were given routine operation and nursing， and the study group performed evidence-based nursing on the basis of the comparison group. The incidence of complications， changes in SAS scores， and satisfaction with care were compared between the enrolled patients. Results The complication rate of the study group was as follows： lumbar pain 12.5%， urinary retention 2.0%， gross hematuria 4.1%， significantly lower than the comparison group 20.8%， 12.5%， 14.5%， data difference was statistically significant (χ2=5.260，P<0.05). There was no significant difference in SAS score between the two groups before intervention (t=2.030，P>0.05). After the intervention， the SAS score of the study group was (30.15±5.26)points. The difference was significantly lower than that of the control group (37.65±5.23)points， and the data was significantly different (t=11.801，P<0.05). The nursing satisfaction of the two groups was significantly higher than that of the control group (95.8% vs 81.2%). The data was significantly different (χ2=13.801，P<0.05). Conclusion Evidence-based nursing for children undergoing renal biopsy can significantly reduce the complications of patients， and relieve the anxiety of patients. It also has a positive effect on improving the satisfaction of patients， which is worth promoting., 百拇医药(高艳丽 李金玲 宋晗 姜红梅 陈朝英 房萍 杨颖)
, http://www.100md.com
[关键词] 循证护理;儿童;肾穿刺活检术;并发症;预防
[中图分类号] R472 [文献标识码] A [文章编号] 1674-0742(2019)08(b)-0127-03
[Abstract] Objective To investigate the effect of evidence-based nursing on the prevention of complications in children with percutaneous renal biopsy (PRB). Methods Ninety-six children with parental consent and support from the children who underwent renal biopsy in our hospital from 2016 to 2018 were convenient selected as subjects. According to the differences in nursing measures， the children were divided into comparison group (n=48) and the study group (n=48)， the patients in the comparison group were given routine operation and nursing， and the study group performed evidence-based nursing on the basis of the comparison group. The incidence of complications， changes in SAS scores， and satisfaction with care were compared between the enrolled patients. Results The complication rate of the study group was as follows： lumbar pain 12.5%， urinary retention 2.0%， gross hematuria 4.1%， significantly lower than the comparison group 20.8%， 12.5%， 14.5%， data difference was statistically significant (χ2=5.260，P<0.05). There was no significant difference in SAS score between the two groups before intervention (t=2.030，P>0.05). After the intervention， the SAS score of the study group was (30.15±5.26)points. The difference was significantly lower than that of the control group (37.65±5.23)points， and the data was significantly different (t=11.801，P<0.05). The nursing satisfaction of the two groups was significantly higher than that of the control group (95.8% vs 81.2%). The data was significantly different (χ2=13.801，P<0.05). Conclusion Evidence-based nursing for children undergoing renal biopsy can significantly reduce the complications of patients， and relieve the anxiety of patients. It also has a positive effect on improving the satisfaction of patients， which is worth promoting., 百拇医药(高艳丽 李金玲 宋晗 姜红梅 陈朝英 房萍 杨颖)