摘要
目的 探讨在神经内科重症护理质量提高中采取循证护理方式的效用价值。方法 研究中共选取148例神经内科重症患者进行对比实验,采取摇号方式将其分为对照与观察两个组别,每组74例患者,前者采取常规护理方式,后者实施循证护理干预手段,对比实际满意度及不良事件发生率。结果 经研究表明,经过护理干预后,观察组压疮、肺部感染、下肢深静脉血栓等不良事件发生情况明显降低,护理满意度也有所提升,且均优于对照组。(P<0.05)。结论 在对神经内科重症患者展开护理时,采取循证护理干预手段可最大程度的提高整体护理质量,减少压疮、肺部感染、下肢深静脉血栓等风险事件的发生率,为患者的生命健康提供保障。
关键词: 循证护理;神经内科;重症护理;质量控制
Abstract
Objective To explore the utility value of evidence-based nursing in improving the quality of intensive care in the Department of Neurology. Methods: A total of 148 critically ill patients in neurology were selected for comparative experiments in the study, and they were divided into two groups: control and observation by lottery. Each group of 74 patients. The former adopts conventional nursing methods and the latter adopts evidence-based nursing interventions. , Compare the actual satisfaction and the incidence of adverse events. Results: The research showed that after nursing intervention, the occurrence of adverse events such as pressure ulcers, pulmonary infection, and deep vein thrombosis of the lower extremities in the observation group was significantly reduced, and nursing satisfaction was also improved, and they were better than those in the control group. (P<0.05). Conclusion : When carrying out nursing care for critically ill patients in the Department of Neurology, the adoption of evidence-based nursing interventions can maximize the overall quality of care, reduce the incidence of pressure ulcers, lung infections, and deep vein thrombosis in the lower extremities, and save the lives of patients. Provide health protection.
Key words: Evidence-Based Nursing; Neurology; Intensive Care; Quality Control
参考文献 References
[1] 武娟楠. 以护士为主体的精细化管理对神经内科医院感染防治效果和患者满意度的影响[J]. 河北北方学院学报(自然科学版),2018,34(02):20-22+24.
[2] 宗艳玲,张秀波. 高血压性脑出血颅内血肿微创清除术33例行气管切开的循证护理实践[J]. 基层医学论坛,2017,21(27):3640-3642.
[3] 周雪松,刘英丽,贾磊,陈松,张丽伟. 循证护理对神经外科长期昏迷患者呼吸机相关性肺炎的影响[J]. 实用临床医药杂志,2016,20(04):65-68.
[4] 毛居旦•阿不力孜,钱海伟,杨丽. 循证护理在重症脑血管护理中的应用价值[J]. 世界最新医学信息文摘,2016,16(03):228-229.
[5] 杨龙芳,卢红霞,王亚青,周新梅. 人性化护理在神经内科重症护理中的应用效果观察及有效性分析[J]. 心理月刊,2020,15(01):92.
[6] 毛香英,察美娥. 循证护理在神经内科重症老年患者压疮预防中的应用[J]. 中国实用医药, 2016(22):2.
[7] 栗江霞. 循证护理在神经内科重症护理质量控制中的应用[J]. 实用临床护理学电子杂志, 2017(5):2.
[8] 王博. 循证护理在神经内科护理中的应用效果分析[J]. 中国医药指南, 2018, 16(3):2.
[9] 钟生琴. 循证护理在神经内科重症护理质量控制中的应用[J]. 心理月刊, 2020.
[10] 戚丽蓉, 神经内科康复护理对脑卒中患者的应用价值[J]. 国际护理学研究, 2021; 3: (1) : 93-95.
[11] 陈梦超. 循证护理在神经内科重症护理质量控制中的应用效果观察[J]. 临床合理用药杂志, 2018, 11(11):2.
[12] 苏玲玲. 循证护理在神经内科重症护理质量控制中的应用[J]. 健康之友 2020年15期, 206页, 2020.
[13] 何玉杰. 探究循证护理在神经内科护理中的应用[J]. 饮食保健, 2017, 4(005):125.
[14] 岳斐斐, 李玲玲, 宋召召. 循证护理在神经内科重症护理质量控制中的应用效果观察[J]. 饮食保健, 2020.
[15] 陶晓杰, 林静. 循证护理在神经内科重症护理中的应用[J]. 养生保健指南, 2020.
[16] 张晓杰. 循证护理在神经内科重症护理质量控制中的应用效果分析[J]. 中国保健营养,2019, 29(23): 177.