循证护理在食管癌术后颈部吻合口瘘患者护理中的应用-中国医学创新.PDFVIP

《中国医学创新》第 12 卷 第 4 期（总第 322 期）2015 年 2月　　 曹敏① 　　 探讨循证护理在食管癌术后颈部吻合口瘘临床护理中的应用及其实施效果。 选取 2012 年 1 月 -2013 年 12 月（循证护理实施后）食管癌术后颈部吻合口瘘 27 例，设为观察组，予以循证护理措 施；回顾查找 2010 年 1 月 -2011 年 12 月 （循证护理实施前）食管癌术后颈部吻合口瘘 25 例，设为对照组，护 理措施为常规措施。比较两组的临床结局、吻合口瘘愈合时间、护理质量评分以及患者满意度。除对照组 1 例患者中途转院治疗外，两组术后吻合口瘘痊愈率均为 100%。但观察组吻合口瘘平均愈合时间短于对照组 （=4.68， 0.05），护理质量评分高于对照组（ =4.29， 0.05），患者满意度高于对照组（ 2=4.53，P0.05）。 t P t P 字 循证护理运用于食管癌术后颈部吻合口瘘患者的临床护理具有良好的效果，不仅细化了护理照顾措施， 提高了基础护理工作质量，也增进了和谐的护患关系，患者吻合口瘘痊愈时间有效缩短，体现了护理工作的知 识价值。 　食管癌；　吻合口瘘；　术后并发症；　循证护理 ’ To explore evidence-based nursing （EBN）’s application and effect on nursing postoperative patients with cervical anastomosis fistula of esophageal cancer. 27 postoperative patients with cervical anastomosis fistula of esophageal cancer from January 2012 to December 2013 （after the application of EBN） were selected as observation group， and were given EBN.25 postoperative patients with cervical anastomosis fistula of esophageal cancer from January 2010 to December 2010 （before the application of EBN） were selected as control group， ’ and were given conventional nursing measures. Two groups clinical outcome， anastomotic fistula healing time， nursing quality score and patients satisfaction were compared. Except 1 patient transferred to another hospital during treatment in control group， the others’ healing rate of postoperative anastomotic fistula was 100% in the two groups. Average healing time of the observation group was shorter than that of control grou