| 循证护理在腹部手术后患者自控镇痛中的应用 |
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| 引用本文： | 金咏梅,刘忆菁,胡祎.循证护理在腹部手术后患者自控镇痛中的应用[J].解放军护理杂志,2010,27(17):1284-1286,1354. |
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| 作者姓名： | 金咏梅 刘忆菁 胡祎 |
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| 作者单位： | 上海市第七人民医院普外科,上海,200137 |
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| 摘 要： | 目的探讨循证护理在腹部手术后患者自控镇痛中的应用。方法选择2008-2009年进行腹部手术后行自控镇痛（patient controlled analgesia,PCA）的患者208例,其中2008年1-12月的106例患者为对照组,实施常规护理;2009年1-12月的102例患者为干预组,实施循证护理。结果干预组术后6、243、6 h的疼痛评分均低于对照组,差异有统计学意义（P〈0.01）;干预组健康宣教知识的掌握率高于对照组,差异有统计学意义（P〈0.01）;干预组术后恶心呕吐、腹胀及导管扭曲脱落发生率低于对照组,差异有统计学意义（P〈0.01和P〈0.05）。结论循证护理将所获得的证据与护理经验和患者的实际情况相结合,对可能发生的不良反应采取预见性护理干预,有效地降低了患者术后疼痛及不良反应发生率,患者在获得相关健康宣教知识的同时增强了对护理的依从性。
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| 关 键 词： | 循证护理 腹部手术 自控镇痛 |
Application of Evidence-based Nursing in Patient-controlled Analgesia after Abdominal Surgery |
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| JIN Yong-mei,LIU Yi-jing,HU Yi.Application of Evidence-based Nursing in Patient-controlled Analgesia after Abdominal Surgery[J].Nursing Journal of Chinese People's Liberation Army,2010,27(17):1284-1286,1354. |
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| Authors: | JIN Yong-mei LIU Yi-jing HU Yi |
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| Institution: | JIN Yong-mei,LIU Yi-jing,HU Yi(Department of General Surgery,No.7 People's Hospital of Shanghai,Shanghai 200137,China) |
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| Abstract: | Objective To explore the effects of evidence-based nursing applied for the patient-controlled analgesia(PCA) in patients with abdominal surgery.Methods A total of 208 patients using PCA after abdominal surgery from 2008 through 2009 were enrolled and divided into the intervention group(January-December 2009,n=102) with evidence-based nursing and the control group(January-December 2008,n=106) with abdominal routine nursing.Results The pain scores at 6,24,36 h were significantly lower in the intervention grou... |
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| Keywords: | evidence-based nursing abdominal surgery patient-controlled analgesia |
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