基于循证理念的强化安全护理在重度肾性贫血输血患者中的应用

目的 探讨在重度肾性贫血输血患者中基于循证理念的强化安全护理的应用效果及价值。方法 分别对实施常规护理的62例、实施基于循证理念的强化安全护理的70例重度肾性贫血输血患者的临床资料进行回顾,记为常规护理组、强化护理组。对比2组护理效果和护理满意度。结果 护理后两组BAI和BDI评分均下降(P<0.05),强化护理组均低于常规护理组(P<0.05);强化护理组护理后关于申请单内容、申请流程、常用血液制品、与输液的区别、适应证、效果评估、不良反应、不良反应应急措施、相关法律知识健康认知正确率均高于常规护理组(P<0.05);护理期间强化护理组溶血反应、瘘管堵塞和院内感染的发生率均低于常规护理组(P<0.05);强化护理组护理满意度分级与常规护理组差异显著(P<0.05),总满意率高于后者(P<0.05)。结论 在重度肾性贫血输血患者中实施基于循证理念的强化安全护理不仅能够保障其输血安全,还可减轻负性情绪,改善健康认知,提升护理满意度。

Application of Enhanced Safety Nursing Based on Evidence-based Concept in Patients with Severe Renal Anemia during Transfusion

Objective To explore the application effect and value of enhanced safety nursing based on evidencebased concept in patients with severe renal anemia during transfusion.Methods The clinical data of 62 patients with severe renal anemia who received routine nursing and 70 patients who received intensive safety nursing based on evidencebased concept were retrospectively analyzed and recorded as routine nursing group,intensive nursing group.The nursing effect and nursing satisfaction were compared between the two groups.Results After nursing,the scores of BAI and BDI in both groups decreased(P<0.05),while those in intensive nursing group were lower than those in routine nursing group(P<0.05).After intensive nursing,the correct rates of health cognition about the content of application form,application process,common blood products,the difference between infusion and infusion,indication,effect evaluation,adverse reactions,emergency measures for adverse reactions and relevant legal knowledge in intensive nursing group were higher than those in routine nursing group(P<0.05).The incidences of hemolysis,fistula blockage and nosocomial infection in intensive nursing group were lower than those in routine nursing group(P<0.05).There was a significant difference in nursing satisfaction grade between intensive nursing group and routine nursing group(P<0.05),and the total satisfaction rate was higher than that of the latter(P<0.05).Conclusion Enhanced safety nursing based on evidence-based concept in patients with severe renal anemia transfusion can not only ensure the safety of blood transfusion,improve health awareness and improve nursing satisfaction,but also reduce negative emotions.