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手术室麻醉患者的预见性护理和循证护理
作者姓名:罗秀娴  黄金妹  孙惠平
作者单位:台山市人民医院手术麻醉科
摘    要:目的对比分析手术室麻醉患者中选择预见性护理和循证护理的应用效果。方法随机抽取手术室麻醉患者进行对比分析,患者80例,时间2017年2月—2019年1月,预见组为进行预见性护理的患者,共计40例,循证组为进行循证护理的患者,共计40例。结果预见组患者进行预见性护理后,循证组患者进行循证护理后,对比组间自主呼吸、呼之握拳、呼之睁眼时间数据,统计对比组间数据,P<0.05,差异有统计学意义;预见组患者进行预见性护理后,循证组患者进行循证护理后,对比组间术后6 h、12 h以及24 hVAS(视觉模拟评分法)评分,统计对比组间数据,P<0.05,差异有统计学意义;预见组患者进行预见性护理后统计计算并发症发生比例25.00%,循证组进行循证护理后统计计算并发症发生比例7.50%,统计对比组间数据,P<0.05,差异有统计学意义。结论对于手术室麻醉患者而言,预见性护理和循证护理应用价值存在,然而循证护理可将患者并发症发生率降低,应按照患者的实际病情进行护理。

关 键 词:预见性护理  循证护理  手术室  麻醉  手术疼痛  并发症

Effect Analysis of Predictive Nursing and Evidence-based Nursing in Patients With Anesthesia in Operating Room
Authors:LUO Xiuxian  HUANG Jinmei  SUN Huiping
Institution:(Department of Operation and Anesthesia,The People's Hospital of Taishan,Taishan Guangdong 529200,China)
Abstract:Objective To compare and analyze the application effects of predictive nursing and evidence-based nursing in patients with anesthesia in operating room.Methods The comparison and analysis of the patients with anesthesia in the operating room were carried out.The number of patients was 80,the time was from February 2017 to January 2019,and in the foreseeable group,there were a total of 40 patients with predictive care,and 40 patients of the evidence-based group were given evidence-based nursing.Results After the patients in the foreseeable group underwent predictive nursing,the evidence-based patients were followed by evidencebased nursing.The data of spontaneous breathing,fist as asked,and blink asked between the groups,and the data between the groups were compared,P<0.05,the difference was statistically significant.After the patients of the foreseeable group underwent predictive nursing,the patients of the evidence-based group underwent evidence-based nursing,and the VAS scores at 6 h,12 h,and 24 h after the comparison between the groups were statistically compared between the groups,P<0.05,the difference was statistically significant;the patients in the foreseeable group were statistically calculated after the predictive care.The proportion of cases was 25.00%.The evidence-based complication rate was 7.50%after evidencebased nursing in the evidence-based group.The data between the groups were statistically compared,P<0.05,the difference was statistically significant.Conclusion For patients with anesthesia in the operating room,the value of predictive nursing and evidence-based nursing exists.However,evidence-based nursing can reduce the incidence of complication of patients,and should be treated according to the actual condition of the patient.
Keywords:predictive care  evidence-based care  operating room  anesthesia  surgical pain  complications
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