姚丹

[摘要] 目的 探討頸脊髓損傷重癥患者護理中循證護理的應用對護理人員主觀能動性的影響。 方法 選取2019年1月至2020年1月我院收治的50例頸脊髓損傷重癥患者，隨機數(shù)字表法分為兩組，對照組應用常規(guī)護理，研究組應用循證護理，比較兩組應用不同方法護理后對護理人員的主觀能動性、患者知識的知曉評分、并發(fā)癥發(fā)生及滿意率的影響。 結果 研究組護理服務（96.15±1.06）分、健康教育能力（93.37±2.01）分、理論知識及技能（96.45±1.05）分、溝通能力（94.14±2.15）分及心理護理能力（94.59±1.83）分，高于對照組護理服務（90.24±2.63）分、健康教育能力（88.21±4.32）分、理論知識及技能（91.21±2.53）分、溝通能力（89.75±3.23）分及心理護理能力（87.63±3.84）分（P<0.05）;研究組安全常識（94.06±1.52）分、用藥常識（94.21±2.63）分、疾病常識（96.73±1.73）分、預防常識（96.15±2.03）分，高于對照組安全常識（87.54±2.13）分、用藥常識（89.35±3.74）分、疾病常識（90.45±2.78）分、預防常識（83.77±4.95）分（P<0.05）;肺部感染、泌尿系統(tǒng)感染及壓瘡并發(fā)癥的發(fā)生率4.0%低于對照組20.0%，滿意率96.0%高于對照組的84.0%（P<0.05）。 結論 頸脊髓損傷重癥患者護理中，實施循證護理取得了滿意的效果，能夠提高護理人員的主觀能動性，利于臨床護理的實施，值得臨床進一步推廣應用。

[關鍵詞] 循證護理;頸脊髓損傷重癥;主觀能動性;護理人員

[中圖分類號] R473.6? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）25-0165-04

Effect of evidence-based nursing on nurses′ subjective initiative in nursing care for severe patients with cervical spinal cord injury

YAO Dan

Intensive Care Unit， Zhejiang Provincial People′s Hospital， People′s Hospital of Hangzhou Medical College， Hangzhou? ?310012， China

[Abstract] Objective To explore the effect of evidence-based nursing on nurses′ subjective initiative in nursing care for severe patients with cervical spinal cord injury （CSCI）. Methods A total of 50 severe patients with CSCI treated in our hospital from January 2019 to January 2020 were randomly divided into the control group （n=25） and the study group（n=25）. Routine nursing was used in the control group and evidence-based nursing was used in the study group. The effects of different nursing methods on the subjective initiative of nurses， the score of patient knowledge， the occurrence of complications and satisfaction rate were compared between the two groups. Results The scores of nursing service， health education ability， theoretical knowledge and skills， communication ability and psychological nursing ability in the study group were （96.15±1.06）， （93.37±2.01）， （96.45±1.05）， （94.14±2.15） and （94.59±1.83）， respectively， which were higher than those in the control group [（90.24±2.63）， （88.21±4.32）， （91.21±2.53）， （89.75±3.23） and （87.63±3.84）， respectively] （P<0.05）.The scores of safety knowledge， medication knowledge， disease knowledge and prevention knowledge of the study group were （94.06±1.52）， （94.21±2.63）， （96.73±1.73） and （96.15±2.03）， respectively， which were higher than those of the control group [（87.54±2.13）， （89.35±3.74）， （90.45±2.78） and （83.77±4.95）， respectively] （P<0.05）. The incidence of pulmonary infection， urinary system infection and pressure sore complications in the control group was 4.0%， lower than that in the control group （20.0%）， and the satisfaction rate was 96.0%， higher than that in the control group 84.0%（P<0.05）. Conclusion In the nursing care of severe patients with CSCI， evidence-based nursing has achieved satisfactory results， which can improve the subjective initiative of nurses and be helpful for the implementation of clinical nursing. Therefore， it is worthy of further clinical application.