循证护理干预在青壮年断指再植患者中的临床效果研究

目的探讨循证护理干预在青壮年断指再植患者中的临床效果。方法将解放军第八一医院收治的62例青壮年断指再植患者随机分为研究组与对照组，每组各31例，对照组给予常规护理，研究组给予循证护理干预，比较两组患者的血管危象的发生率、断指再植成活率及汉密斯顿量表（HAMA）评分。结果对照组断指成活率为72．7％，与研究组（97．1％）比较，差异有统计学意义（X^2=3．87，P〈0．05）。对照组的血管危象发生率为24．2％，明显高于研究组的8．57％，两组比较，差异有统计学意义（P〈0．05）。研究组给予循证护理干预后患者的HAMA评分明显低于对照组，两组比较，差异有高度统计学意义（P〈0．01）。结论对青壮年断指再植患者进行循证护理干预，可缓解患者的焦虑、抑郁情绪，降低患者血管危象的发生率，提高断指再植的成活率。

Clinical effect research of evidence-based nursing intervention in young and middle-aged replantation of severed finger patients

Objective To explore the clinical effect of evidence-based nursing intervention in young and middle-aged replantation of severed finger patients. Methods 62 cases of the young and middle-aged replantation of severed finger patients patients in the 81st Hospital of Chinese People＇s Liberation Army were randomly divided into study group and control group, each group of 31 cases, the control group was given conventional nursing care, the study group was giv- en evidence-based nuising intervention, vascular crisis incidence, survival rate of replantation of severed finger patients and HAMA score were compared between the two groups. Results The control group for finger survival rate was 72.7%, and 97.1% of the study group, the difference had statistical significance between the two groups （X^2 = 3.87, P 〈 0.05）. The vascular crisis was 24.2% in the control group, and significantly higher than that of the study group （8.57%）, the difference was statistically significant between the two groups （P 〈 0.05）. The study group given evidence-based nursing intervention of the patients after HAMA score was significantly lower than that of the control group, the difference was statistically significant between the two groups （P 〈 0.01）. Conclusion The young and mid- dle-aged patients with replantation of severed finger patients of evidence-based nursing intervention, can alleviate patients with anxiety, depression, reduce the incidence of the patients with vascular crisis and improve the survival rate of replantation of severed finger.