摘要
目的探讨心脏外科手术后应用循证护理对预防患者切口感染的效果。方法选择2023年2—8月山东第一医科大学第一附属医院心脏外科收治的100例患者作为研究对象,按照组间基线资料具有可比性原则将其分为对照组和观察组,各50例,对照组采用常规护理,观察组采用循证护理,对两组术后切口愈合程度,临床指标进行比较,并对血红蛋白(Hb)、白细胞计数(WBC)、中性粒细胞(N)进行比较,应用Kolcaba的舒适状况量表(GCQ)观察两组干预前、干预后7 d身心舒适状况。结果采用循证护理干预的观察组切口愈合程度优于对照组,且观察组手术时间、切口恢复时间、抗生素应用时间、住院时间均低于对照组,差异均有统计学意义(P<0.05);实施循证护理干预前两组Hb、WBC、N值、GCQ评分比较差异无统计学意义(P>0.05),干预后观察组WBC、N值低于对照组,Hb值及GCQ评分高于对照组,差异均有统计学意义(P<0.05)。结论心脏外科手术后,循证护理在预防切口感染中具有较高的应用价值,其不仅可避免术后切口感染的发生,同时还可加快切口愈合,对巩固患者手术治疗效果、提高身心舒适度具有重要意义。
Objective To explore the effect of evidence-based nursing on preventing surgical site infections among patients after cardiac surgery.Methods A total of 100 patients treated in the cardiac surgery department of the First Affiliated Hospital of Shandong First Medical University from February to August 2023 were selected as the study subjects.According to the principle of comparability of inter-group baseline data,they were divided into a control group and an observation group,with 50 cases in each group.The control group implemented routine nursing care,while the observation group implemented evidence-based nursing.The differences in postoperative wound healing and clinical indicators between the two groups were compared.hemoglobin(Hb),white blood cell(WBC)count,and neutrophils(N)were also compared.The Kolcaba General Comfort Questionnaire(GCQ)was used to assess the physical and psychological comfort of both groups before and 7 days after intervention.Results After evidence-based nursing intervention,the degree of wound healing in the observation group was better than that in the control group,the operation duration,wound recovery time,duration of antibiotic use,and hospital stay of the observation group were all shorter than those of the control group,the differences were statistically significant(P<0.05).Before implementing evidence-based nursing,there was no statistically significant difference in values of Hb,WBC,N and GCQ scores between the two groups(P>0.05).After the intervention,the WBC and N values of the observation group were lower than those of the control group,the Hb value and GCQ score were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Evidence-based nursing has a high application value in preventing surgical site infections after cardiac surgery.It not only effectively prevents postoperative wound infections but also accelerates wound healing,which is of great significance in strengthening the surgical treatment outcomes and improving physical and psychological comfort for patients.
作者
石令艳
许翠萍
程艳伶
胡小静
段晓晓
赵成丽
SHI Lingyan;XU Cuiping;CHENG Yanling;HU Xiaojing;DUAN Xiaoxiao;ZHAO Chengli(School of Nursing and Rehabilitation of Shandong University,Jinan 250014,China;The First Affi liated Hospital of Shandong First Medical University,Jinan 250014,China)
出处
《护理实践与研究》
2024年第9期1382-1386,共5页
Nursing Practice and Research
基金
国家自然科学基金(编号:7217041158)。
关键词
循证护理
心脏外科术后
切口愈合
血细胞分析
舒适状况量表
Evidence-based nursing
After cardiac surgery
Incision healing
Blood cells analysis
General Comfort Questionnaire
作者简介
通信作者:许翠萍,女,博士,主任护师,E-mail:xucuiping775@sohu.com。
