摘要
目的探讨循证护理模式对胆汁性肝硬化患者术后康复的影响.方法选取烟台市莱阳中心医院2018年3月—2021年6月收治行手术治疗的68例胆汁性肝硬化患者,按随机抽签法分为对照组和研究组,各34例.其中对照组给予常规药物联合常规护理干预,研究组在对照组基础上给予循证护理模式干预.比较两组患者术后康复情况、焦虑量表、抑郁量表评分及并发症发生情况.结果研究组住院时间、水肿消退时间、腹水消失时间、瘙痒好转用时均短于对照组,组间差异有统计学意义(P<0.05).干预后,两组焦虑量表、抑郁量表评分均低于干预前,且研究组低于对照组,组间差异有统计学意义(P<0.05).研究组并发症发生率为11.76%,低于对照组的32.35%,差异有统计学意义(P<0.05).结论循证护理模式应用于行手术治疗的胆汁性肝硬化患者中能有效提高术后康复速度,改善负性情绪,减少并发症的发生.
Objective To explore the influence of evidence-based nursing model on postoperative rehabilitation of patients with biliary cirrhosis.Methods A total of 68 patients with biliary cirrhosis who underwent surgery in Yantai Laiyang Central Hospital from March 2018 to June 2021 were selected,and divided into a control group and a study group,with 34 cases in each group according to a random lottery method.The control group was given the usual medication combined with routine nursing intervention,and the study group was given evidence-based nursing intervention on the basis of the control group.The postoperative rehabilitation,the self-rating anxiety scale and self-rating depression scale scores and complications were compared between the two groups.Results The hospitalization time,edema subsidence time,ascites disappearance time and itching improvement time in the study group were all shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the self-rating anxiety scale and self-rating depression scale scores of the two groups were lower than those before the intervention,and the study group were lower than the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the study group was 11.76%,which was lower than 32.35%in the control group,and the difference was statistically significant(P<0.05).Conclusion The evidence-based nursing model applied to patients with biliary cirrhosis who underwent surgery can effectively improve postoperative recovery speed,improve negative emotions,and reduce the occurrence of complications.
作者
于美娥
YU Meie(Department of Gastroenterology,Yantai Laiyang Central Hospital,Laiyang Shandong,265200,China)
出处
《反射疗法与康复医学》
2022年第17期146-149,共4页
Reflexology And Rehabilitation Medicine
关键词
胆汁性肝硬化
循证护理模式
术后康复
负性情绪
并发症
Biliary cirrhosis
Evidence-based nursing model
Postoperative rehabilitation
Negative emotions
Complications
作者简介
于美娥(1976-),女,山东莱阳人,本科,副主任护师,研究方向:内科护理。
