Evidence-based nursing for patients with painless gastroscopy
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摘要: 目的 观察循证护理在无痛胃镜检查中的应用效果,调查了解循证护理与常规护理的护理满意度。 方法 选择2014年7月—2015年6月接受无痛胃镜检查的患者100例,将患者分为研究组和对照组,每组各50例,2组患者一般资料差异无统计学意义,具有可比性。研究组给予循证护理,对照组给予常规护理,所有患者均采用焦虑自评量表(self-rating anxiety scale,SAS)对2组患者护理前后的焦虑情况进行评估,检查后采用纽卡斯尔护理服务满意度量表(NSNS)调查患者对护理工作的满意程度。采用SPSS 19.0统计学软件,对收集数据进行分析,计量资料以 x±s表示,采用t检验,计数资料采用χ2检验,以P<0.05为差异具有统计学意义。观察2组患者评分的差异性。 结果 研究组在护理前SAS评分为(47.57±10.22)分,护理后为(40.13±6.07)分,焦虑情况有明显改善(t=4.43,P<0.05);对照组在护理前SAS评分为(47.74±11.36)分,护理后为(46.58±7.53)分,护理后焦虑改善不明显(t=0.60,P>0.05);研究组护理满意度为(73.85±1.57)分,对照组为(67.33±2.74)分,研究组护理满意度明显高于对照组(t=14.60,P<0.05)。 结论 无痛胃镜检查时间短,检查的成功率高,循证护理科学地使临床知识和经验相结合,在无痛胃镜检查过程中应用循证护理能更大程度地减轻患者痛苦。循证护理可明显缓解无痛胃镜检查患者的焦虑程度,并且有助于提高护理满意度,增强医患间的信任,减少医患纠纷,值得在临床推广使用。Abstract: Objective To observe the effect of evidence-based nursing in ptients with painless gastroscopy,and compare the nursing satisfaction of patients receiving evidence-based nursing or routine nursing. Methods Total 100 patients undergoing painless gastroscopy in our hospital from July 2014 to June 2015 were selected and divided into research group and control group with 50 cases in each group.The general information of two groups had no statistical significance difference,it has comparability.The research group received the evidence-based nursing while the control group receieved the routine nursing.All the patients took Self-Rating Anxiety Scale(SAS)before and after the nursing to evaluate their anxiety condition,took Newcastle Satisfaction of Nursing Service(NSNS)research after the examination to evaluate their satisfaction of nursing service.SPSS 19.0 statistical software was used to analyze data.The measurement data was expressed by x±s,and adopted t-test.The categorical data adopted Chi-square test.P<0.05 expressed that difference has statistical significance. Results Before the nursing,the SAS of research group was(47.57±10.22).After the nursing,the SAS of the research group was(40.13±6.07).The anxiety condition of research group had an obvious improvement(t=4.43,P<0.05).Before the nursing,the SAS of control group was(47.74±11.36).After the nursing,the SAS of control group was(46.58±7.53).The anxiety condition of control group had an unconspicuous improvement(t=0.60,P>0.05).The NSNS of research group was(73.85±1.57).The NSNS of research group was(67.33±2.74).The nursing satisfaction of research group was obviously higher than control group(t=14.60,P<0.05). Conclusion The inspection time for painless gastroscopy is short and success rate is high.Evidence-based nursing can scientifically combine clinical knowledge and experience.Evidence-based nursing for painless gastroscopy can relieve the pain of patients.Evidence-based nursing can obviously relieve the anxiety degree of patients with painless gastroscopy.It’s contributed to improve nursing satisfaction and the trust of doctor-patient,and reduce medical dispute.
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Key words:
- Painless gastroscopy /
- Evidence-based nursing /
- Satisfaction
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