循证护理在48例扁桃体切除术患者术后出血中护理研究.docVIP

循证护理在48例扁桃体切除术患者术后出血中护理研究 　　[摘要] 目的 分析循证护理在扁桃体切除术患者术后出血中的临床效果。方法 方便择取2014年9月―2017年4月该院收治的52例接受扁桃体手术的患者为研究对象，依照就诊顺序，将病患随机分为观察组以及对照组，每组26例。患者均为择期手术，麻醉方式为全凭静脉麻醉。完成手术后，对照组行常规术后优质护理。观察组行循证护理，分析术后出血率和护理满意度。结果 对照组护理满意度为80.77%，观察组为96.15%，与对照组相比，观察组患者护理满意度更高（P0.05）。对照组患者24 h出血率为15.38%，观察组为0.00%，组间数据差异有统计学意义（P0.05）。 结论 对于接受扁桃体切除者，使用循证护理，能够全面降低术后出血发生率，提升治疗效果以及护理满意度，有助于患者疾病转归，值得进一步推广。 　　[关键词] 循证护理；慢性扁桃体炎；扁桃体切除术；术后出血 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0162-03 　　[Abstract] Objective To analyze the clinical effect of evidence-based nursing in postoperative bleeding of 48 cases of patients with tonsillectomy. Methods 52 cases of patients with tonsillectomy admitted and treated in our hospital from September 2014 to April 2017 were convenient selected as the research objects and randomly divided into two groups according to the admission order with 26 cases in each， all patients underwent the selective operation， and the anesthesia method was total intravenous anesthesia， at the end of operation， the control group adopted the routine excellent nursing after surgery， while the observation group adopted the evidence-based nursing， and the bleeding rate and nursing satisfactory degree were analyzed. Results The nursing satisfactory degree in the observation group was higher than that in the control group（80.77% vs 96.15%）（P0.05）， and the 24h bleeding rate in the control group and in the observation group was respectively 15.38% and 0.00%， and the differences were statistically significant（P0.05）. Conclusion The evidence-based nursing for patients with tonsillectomy can comprehensively reduce the incidence rate of postoperative hemorrhage， improve the treatment effect and nursing satisfactory degree， and it contributes to the disease outcome， and it is worth further promotion. 　　[Key words] Evidence-based nursing； Chronic tonsillitis； Tonsillectomy； Postoperative bleeding 　　扁桃?w切除术为临床常见手术类型，其为治疗扁桃体过度肥大、扁桃体炎等有效方法[1]。术后出血为该项手术的常见并发症，这种情况在一定程度上对病患的康复造成影响。倘若未能在第一时间对