循证护理对皮肤疮疡患者如意金黄散外敷治疗后的护理价值探究

目的探究循证护理干预对皮肤疮疡患者如意金黄散外敷治疗后的护理价值。方法选取2016年8月—2017年8月于杭州市红十字会医院治疗的皮肤疮疡患者100例,并按照随机数字法分为常规护理组和循证护理组各50例,对2组皮肤疮疡患者使用如意金黄散外敷治疗,对常规护理组采取基础护理,循证护理组进行循证护理干预。统计2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)评分情况以及生活质量、护理质量评分,对2组患者住院时间以及家属总满意度进行统计。结果护理后常规护理组与循证护理组患者SAS、SDS评分均出现明显下降,循证护理组患者SAS、SDS评分低于常规护理组(均P<0.05);护理后,2组患者躯体功能、情绪功能及社会功能评分均出现一定程度上升,且循证护理组患者躯体功能、情绪功能及社会功能评分均高于常规护理组(均P<0.05);循证护理组皮肤疮疡患者住院时间更短,且护理质量评分更高,与常规护理组相比差异具有统计学意义(均P<0.05);循证护理组家属总满意度达96.00%,明显高于常规护理组84.00%的家属总满意度(P<0.05)。结论循证护理能够明显改善患者心理状态,促进患者身体恢复,患者及家属更加满意。

Study on the nursing value of evidence-based nursing for patients with skin sores after treatment with Ruyi golden yellow powder topical application

Objective To explore the clinical value of evidence-based nursing intervention in the treatment of patients with skin ulcers with Ruyi golden yellow powder. Methods A total of 100 patients with skin ulcers who were treated in our hospital from August 2016 to August 2017 were selected, and were divided into routine nursing group and evidence-based nursing group with 50 cases in each group according to the numerical randomization method. Patients with skin ulcers were selected for the treatment with ruyi golden powder external application, and the conventional nursing group received basic nursing and the evidence-based nursing group received evidence-based nursing intervention. The self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) of the two groups were statistically analyzed, as well as the scores of quality of life and quality of care. The satisfaction rates of patients and family members in both groups were calculated. Results After nursing, the SAS and SDS scores of patients in the conventional nursing group and the evidence-based nursing group were significantly decreased, and the SAS and SDS scores of patients in the evidence-based nursing group were lower than those in the conventional nursing group, showing a statistical difference (all P<0.05). After nursing, the scores of somatic function, emotional function and social function of patients in the two groups all increased to some extent, and the scores of somatic function, emotional function and social function of patients in the evidence-based nursing group were higher than those in the conventional nursing group, showing statistical differences (all P<0.05). Patients in the evidence-based nursing group with skin sores were hospitalized for a shorter time and had a higher quality of care score, which was statistically different from the conventional nursing group (all P<0.05). The total satisfaction of family members of the evidence-based nursing group was as high as 96.00%, significantly higher than that of the routine nursing group (84.00%), showing a statistical difference (P<0.05). Conclusion Evidence-based nursing can significantly improve patients' mental state, promote patients' physical recovery and make patients and their families more satisfied.