循证护理在降低剖宫产术后硬膜外镇痛泵脱管中的应用效果

目的 探讨循证护理在降低剖宫产术后硬膜外镇痛泵脱管中的应用效果。方法 将2014年1月-2015年7月剖宫产术后应用硬膜外镇痛泵的240例产妇作为研究对象,并将其随机分成对照组和观察组各120例。对照组按照剖宫产术后常规护理,观察组在对照组基础上采用循证护理的方法。比较2组产妇镇痛泵非计划性脱管发生率以及产妇对护理的满意度。结果 观察组非计划性脱管发生率为5.00%,与对照组的20.00%比较有明显下降(χ²=12.343,P<0.001);护理满意度明显高于对照组(Z=-3.229,P=0.001)。结论 根据硬膜外镇痛泵脱管的发生原因进行循证护理,能有效降低剖术后硬膜外镇痛泵非计划性脱管的发生率,提高患者满意度。

The application effect of evidence-based nursing in reducing the pull-off of epidural analgesia pumps after cesarean section

Objective To investigate the effect of evidence-based nursing on reducing the pull-off of epidural analgesia pumps after cesarean section.Methods Totally 240 maternal using the epidural analgesia pump after cesarean section in our hospital between January 2014 and July 2015 were selected and randomly divided into an observation group and a control group, each of 120. Both groups were given routine nursing, while the observation group was additionally provided with evidence-based nursing. The rate of unplanned pull-off of the pump and maternal satisfaction were compared between the two groups. Results In the observation group, the unplanned extubation rate was 5.00%, significantly lower than that in the control group (20.00%). The observation group was significantly more satisfied with the nursing care than the control group(Z=-3.229,P=0.001). Conclusion The evidence-based nursing can help to reduce the incidence of unplanned pull-off of epidural analgesia pumps and promote patients' satisfaction.