循证护理在消化性溃疡患者中应用及临床效果分析.docVIP

循证护理在消化性溃疡患者中应用及临床效果分析 　　[摘要] 目的 探讨循证护理在消化性溃疡患者中的应用及临床意义。 方法 将190例消化性溃疡患者随机分为观察组和对照组各95例，对照组给予消化内科常规护理，观察组给予循证护理，观察两组患者遵医行为、护理满意度及生活质量情况。 结果 观察组遵医行为、心理状况及生活质量情况均优于对照组，组间比较有显著差异（P ＜ 0.05）。 结论 循证护理能改善消化性溃疡患者的心理状况，提高其治疗依从性，对提高患者生活质量、改善预后均有积极意义。 　　[关键词] 消化性溃疡；循证护理；遵医行为 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2012）04-0130-03 　　 　　The application and analysis of clinical results of evidence-based care in patients with peptic ulcer 　　SHEN Da ZHANG Jing FENG Minping 　　Department of Gastroenterology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310007, China 　　[Abstract] Objective To evaluate the application and clinical significance of evidence-based care in patients with peptic ulcer. Methods All 190 cases with peptic ulcer were randomly divided into the observation group and the control group, with 95 cases in each group, and the control group received routine medical care of the digestion department and the observation group was given evidence-based care. Compliance, nursing satisfaction and quality of life situation of patients were observed. Results The compliance behavior, nursing satisfaction and quality of life conditions of the observation group were better than those of the control group, which were significantly different (P ＜ 0.05). Conclusion Evidence-based care can improve the compliance behavior of patients with peptic ulcer and their quality of life, which can improve patients’ satisfaction while improving the quality of care, is a scientific and effective model of care. 　　[Key words] Peptic ulcer; Evidence-based care; Compliance behavior 　　 　　随着循证医学的发展，循证护理已广泛应用于临床，它是一种以患者为中心、以科学理论为指导、与临床实践相结合的一种新型护理模式。循证护理的诞生避免了传统护理的主观性和盲目性，使护理工作真正做到了有证可循、有据可依[1]。我科近年来对收治的消化性溃疡患者实施了循证护理，??床上取得了满意效果，本文回顾性分析了循证护理与传统护理在消化性溃疡患者中的应用及临床效果并进行了对比分析，旨在进一步探讨循证护理在消化性溃疡患者中的应用及临床意义，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　本次观察对象共190例，均为2010年8月～2011年8月在我院接受治疗的消化性溃疡患者，全部患者均经胃镜检查确诊，并排除消化道大出血患者；其中男98例，女92例，年龄23～65岁，平均（42.5±11.4）岁。本组中胃溃疡132例，十二指肠溃疡58例。根据护理方案不同将190例患者随