Application of evidence-based nursing in the treatment of nasal polyps
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摘要: 目的 研究分析循证护理模式在鼻息肉治疗过程中的应用。 方法 选取蚌埠医学院第一附属医院2015年6月—2016年6月收治的320例鼻息肉患者,依据患者的治疗方法将患者分为药物治疗组(196例)与手术治疗组(124例),再将2种治疗方法的患者随机均分为药物治疗1组、药物治疗2组与手术治疗1组、手术治疗2组;其中药物治疗1组与手术治疗1组患者在治疗中给予传统护理,药物治疗2组与手术治疗2组在治疗中实施循证护理模式护理。观察4组入院及出院时负性情绪变化,评估患者疾病知识掌握程度及护理满意度,观察分析患者的护理效果。 结果 全部患者均通过治疗和护理后,对患者的护理效果进行评价对比,药物治疗2组与手术治疗2组的护理效果明显优于药物治疗1组与手术治疗1组,差异有统计学意义(P<0.05)。对患者的护理满意度进行对比,药物治疗2组与手术治疗2组也明显高于药物治疗1组与手术治疗1组,差异有统计学意义(P<0.05)。4组出院时抑郁自评量表、焦虑自评量表评分均较入院时下降,且循证护理模式护理组显著低于传统护理组(P<0.05)。出院时,循证护理模式护理组疾病知识掌握程度显著高于传统护理组(P<0.05)。 结论 鼻息肉患者的临床治疗中,应用循证护理模式具有良好的效果,临床应用价值高。Abstract: Objective To study the application of evidence-based nursing(EBN) in the treatment of nasal polyps. Methods Total 320 cases of nasal polyps from June,2015 to June,2016 in our hospital were divided into drug treatment group(196 cases) and surgical treatment group(124 cases),and each group was divided into 2 sub-groups according to the nursing methods (drug treatment group 1 and 2,surgical treatment group 1 and 2).Drug treatment group 1 and surgical treatment group 1 were given routine nursing care during therapy,while the drug treatment group 2 and surgical treatment group 2 were given evidence based nursing model during therapy.The changes of negative emotions on admission and at discharge were observed in all groups,the degree of mastering disease knowledge,satisfactory degree of nursing and the treatment effect of the patients were evaluated. Results There were significant decreases in self-rating depression scale and self-rating anxiety scale scores decreased prominently at discharge than those on admission,which were obviously lower in the evidence based nursing group as compared with the routine nursing group(P<0.05).At discharge,the degree of mastering disease knowledge and satisfactory degree of nursing in the evidence based nursing group was apparently higher than those in the routine nursing group(P<0.05).The treatment efficiency with evidence based nursing model were significantly higher than that of the routine nursing model in both drug treatment group(drug treatment group 1 and 2) and surgical treatment group(surgical treatment group 1 and 2). Conclusion Evidence-based nursing model possess good effect and high clinical value in the clinical treatment of patients with nasal polyps.
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Key words:
- Nasal polyps /
- Complications /
- Edema /
- Allergic reaction
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