邊明秀

【摘 要】目的：探討循證護(hù)理在腸梗阻患者護(hù)理中的應(yīng)用價(jià)值。方法：本文研究對(duì)象為腸梗阻患者，研究例數(shù)一共200例，腸梗阻患者均采取抽簽分組方式分為兩組，收取時(shí)間在2015年2月1日-2018年2月3日之間，分為觀察組一組（100例腸梗阻患者）、對(duì)照組一組（100例腸梗阻患者），分別實(shí)施循證護(hù)理、常規(guī)護(hù)理，將兩組患者的各項(xiàng)指標(biāo)進(jìn)行對(duì)比。結(jié)果：觀察組腸梗阻患者滿意度97.00%（滿意患者90例、所占比為90.00%;一般患者7例、所占比為7.00%;不滿意患者3例、所占比為3.00%）高于對(duì)照組患者（P<0.05）;觀察組腸梗阻患者的SAS評(píng)分（25.01±1.21）分和SDS評(píng)分（24.15±1.37）分低于對(duì)照組患者SAS評(píng)分（49.25±1.28）分和SDS評(píng)分（48.28±1.15）分，P<0.05;觀察組腸梗阻患者的住院總耗時(shí)（10.21±0.11）d、腸胃功能恢復(fù)時(shí)間（7.02±1.05）h短于對(duì)照組患者P<0.05。結(jié)論：通過(guò)對(duì)腸梗阻患者實(shí)施循證護(hù)理后，取得顯著的護(hù)理效果，能改善患者負(fù)面情緒，利于患者早期康復(fù)，值得在臨床中推廣及運(yùn)用。

【關(guān)鍵詞】循證護(hù)理;腸梗阻患者;應(yīng)用價(jià)值

Abstract objective： to explore the application value of evidence-based nursing in the nursing of patients with intestinal obstruction. Methods： in this paper， the object of study for patients with intestinal obstruction， accounted for a total of 200 cases of intestinal obstruction patients were taken to draw grouping is divided into two groups， charging time on February 1， 2015 - February 3， 2018， divided into the observation group of a group （100 cases of intestinal obstruction patients） and control group a set of （100 cases of patients with intestinal obstruction）， respectively， the implementation of evidence-based nursing， routine nursing care， to each index of two groups of patients were compared. Results： in the observation group， the satisfaction rate of adhesive ileus patients after abdominal surgery was 97.00% （90 cases， accounting for 90.00%）. There were 7 general patients， accounting for 7.00%. 3 patients （3.00%） were dissatisfied， which was higher than the control group （P < 0.05）. The SAS score （25.01 1.21） and SDS score （24.15 1.37） in the observation group were lower than those in the control group （49.25 1.28） and SDS score （48.28 1.15）， P < 0.05. The total hospitalization time （10.21 0.11） d and gastrointestinal function recovery time （7.02 1.05） h in the observation group were shorter than those in the control group （P < 0.05）. Conclusion： through the implementation of evidence-based nursing for patients with intestinal obstruction， significant nursing effect can be achieved， can improve the negative emotions of patients， conducive to early rehabilitation of patients.

Key words：evidence-based nursing; Patients with intestinal obstruction; Application value

【中圖分類號(hào)】 R715

【文獻(xiàn)標(biāo)識(shí)碼】 B? 【文章編號(hào)】 1672-3783（2019）04-03-136-01

近年來(lái)腸梗阻發(fā)病率呈上升趨勢(shì)，為臨床中十分常見的急腹癥，患者在發(fā)病早期部分梗阻易引起解剖學(xué)改變和功能性病理性學(xué)改變，引起體液和電解質(zhì)流失，從而導(dǎo)致腸壁感染和循環(huán)功能壞死情況，最終導(dǎo)致毒血癥情況發(fā)生，嚴(yán)重危害患者的健康和安全[1]。因此，本次研究對(duì)循證護(hù)理在腸梗阻患者護(hù)理中的應(yīng)用價(jià)值進(jìn)行分析，見下文。

1 資料和方法

1.1 資料