循证护理模式在耳鼻喉科老年患者中的应用.docVIP

循证护理模式在耳鼻喉科老年患者中的应用 蔡丽 平煤神马医疗集团总医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨循证护理在耳鼻喉科的应用效果。方法:选取2015年9月至2016年9月收治的64例耳鼻喉科住院治疗的患者, 随机分为观察组与对照组, 各32例, 对照组采取常规护理, 观察组采取循证护理方法, 观察两组患者焦虑自评量表 (self-rating anxiety scale, SAS) 、抑郁自评量表 (self-rating depression scale, SDS) 、视觉模拟评分 (visual analogue scale, VAS) 改善情况, 患者对疾病健康知识知晓及护理满意度, 患者对治疗及护理依从性。结果:观察组患者耳鼻喉科疾病健康知识知晓率为84.38%高于对照组46.88% (χ2=9.97, P=0.008) , 观察组患者护理满意率为93.75%高于对照组68.75% (χ2=6.56, P=0.018) , 护理后观察组SDS评分低于对照组 (t=3.122, P=0.003) , 观察组SAS评分低于对照组 (t=3.980, P=0.000) , 观察组VAS评分低于对照组 (t=5.939, P=0.000) , 患者依从性观察组优于对照组 (t=-12.081, P=0.000) 。结论:耳鼻喉科护理工作中采用循证护理能解决患者护理问题, 护理效果较传统护理方法效果好。 关键词： 循证护理; 耳鼻喉; 健康知识知晓率; 收稿日期：2017-08-17 Application of evidence-based nursing to elderly patients in otolaryngology CAI Li The General Hospital of Pingmei Shenma Medical Group; Abstract： Objective: To investigate the effect of evidence-based nursing in otolaryngology. Methods: 64 cases of hospitalized patients from September 2015 to September 2016 in otolaryngology were randomly divided into routine nursing group and evidence-based nursing group, 32 cases in each group. The patients in conventional nursing group adopted conventional nursing and those of evidence-based nursing group adopted evidence-based nursing. The SAS, SDS and VAS scores, awareness rate of health knowledge, nursing satisfaction and treatment and nursing compliance between the two groups were compared. Results: The awareness rate of health knowledge in evidence-based nursing group ( 84. 38 %) was higher than that in conventional nursing group ( 46. 88 %) ( χ2= 9. 97, P = 0. 008) and the nursing satisfaction in evidence-based nursing group ( 93. 75 %) was higher than that in routine nursing group ( 68. 75 %) ( χ2= 6. 56, P = 0. 018) ; after nursing care, SAS, SDS, VAS score and compliance in evidence-based nursing group were superior to those in conventional nursing group ( t = 3. 122, P = 0. 003; t = 3. 980, P =0. 00