循证护理对脑血管造影患者术后并发症发生及住院满意度的影响

目的探讨循证护理对全脑血管造影后患者常见并发症发生率及患者住院满意度的影响。方法便利抽样法选取2011年3-6月在解放军总医院神经外科住院行全脑血管造影的180例患者为研究对象,按随机数字表法将其分为对照组和观察组,每组90例。对照组患者按神经外科一般护理常规,遵照医嘱给予术前检查、常规准备,通知禁食、水,术后严格按照股动脉穿刺点护理要求,术肢制动,严密观察造影剂反应及穿刺点情况等护理。通过大量文献检索,采用116篇文献作为依据对观察组患者实施循证护理,包括术前禁食时间、排便训练、术后卧床时间、饮水时间等方面。比较两组患者并发症的发生情况及患者的住院满意度。结果观察组患者在造影后48h内发生并发症5例,占5.5%,低于对照组的28例(31.1%),差异有统计学意义(P<0.05)。观察组患者住院满意率为100%,明显高于对照组患者的95%,差异有统计学意义(P<0.05)。结论循证护理对全脑血管造影术后患者快速康复有积极作用,降低了并发症发生率,提高了患者满意率。

Effects of Evidence-based Nursing on Post-operative Complication Rate and Hospitalization Satisfaction of Patients with Postoperative Cerebral Angiography

Objective To observe the effects of evidence-based nursing on post-operative complication rate of patients with postoperative cerebral angiography. Methods From March to June 2011,180 patients with cerebrovascular disease who were diagnosed with cerebral angiogram were randomized into experimental group and control group, with 90 cases in each group. The patients in the control group were treated with the routine general nursing of neurosurgery, preoperative examination suggested by physicians, conven- tional preparation,water fasting notice,in strict accordance with puncture point nursing for femoral artery and close observation of braking limbs,contrast agent reaction and puncture point. Through extensive liter- ature search, the patients of the control group underwent eviden-based nursing based on 116 related litera- tures. Evidence-based nursing were implemented in views of preoperative fasting time, bowel training, duration for bed rest and drinking time. Comparions were conducted on the incidences 24--48 h after opera- tion and patients; satisfaction rates between the two groups. Results There were 5 cases with complica- tions in 48 hours, accounting for 5. 5 %, which was significantly less than that （28 cases, accounting for 31.1%） in the control group（P〈0. 05）. The satisfaction rate （100%） in the experimental group was higher than that in the control group （95%）（P〈0. 05）. Conclusion Evidence-based nursing of patients aftercerebral angiography has a positive effect for rapid recovery in reducing the incidence of complications and improving the satisfaction rate.