Effectiveness of evidence-based nursing on nosocomial infection in patients with severe craniocerebraltrauma in ICU
循证护理对ICU重症颅脑外伤患者院内感染的有效性研究

摘要

目的 探究在ICU重症颅脑外伤患者的护理中使用循证护理的临床效果与影响。方法 选择在2020年7月-2021年7月于本院ICU重症颅脑外伤接受治疗的68例患者，按照随机抽签的方式将其分作实验组和对照组，实验组的患者接受循证护理，对照组患者实施常规护理模式，比较对照组和实验组的护理满意度、生活质量评分以及不良反应发生率情况。结果 实验组满意程度远远高于对照组护理满意度（P<0.05），对照组患者护理后的生活质量评分显著低于实验组，数据之间对比有一定差异（P<0.05），对照组依从性评分明显低于实验组，数据间对比有差异（P<0.05）。对照组患者在住院时间及住院费用上均高于实验组，数据之间对比存在差异（P<0.05）。观察组患者的院感发生率明显低于对照组，数据对比存在显著差异（P<0.05）。结论 循证护理可以有效提高满意程度和生活质量评分，同时能够减少院内感染事件的发生，值得推广。

Abstract

Objective To explore the clinical effect and influence of evidence-based nursing in the nursing of patients with severe craniocerebral trauma in ICU.
Methods: 68 patients with severe craniocerebral trauma treated in ICU of our hospital from July 2020 to July 2021 were randomly divided into experimental group and control group. The patients in the experimental group received evidence-based nursing, and the patients in the control group implemented routine nursing mode. The nursing satisfaction, quality of life score and incidence of adverse reactions between the control group and the experimental group were compared.
Results: the degree of satisfaction in the experimental group was much higher than that in the control group (P < 0.05). The score of quality of life in the control group was significantly lower than that in the experimental group, and there was a certain difference between the data (P < 0.05). The compliance score in the control group was significantly lower than that in the experimental group, and there was a difference between the data (P < 0.05). The length of stay and hospitalization expenses of patients in the control group were higher than those in the experimental group, and there were differences between the data (P < 0.05). The incidence of nosocomial infection in the observation group was significantly lower than that in the control group, and there was significant difference in data comparison (P < 0.05).
Conclusion  : evidence based nursing can effectively improve the satisfaction and quality of life score, and reduce the incidence of nosocomial infection, which is worthy of popularization.