Evaluation of the application value of evidence-based nursing based on innovative diffusion theory in the nursing of patients with reflux esophagitis
基于创新扩散理论的循证护理在反流性食管炎患者护理中的应用价值评估

摘要

目的 本研究探讨以创新扩散理论（IDT）为框架的循证护理在反流性食管炎（RE）患者中的实践效果。方法 采用随机对照试验设计，将120例RE患者分为干预组（IDT循证护理）与对照组（常规护理）。干预组基于IDT五大核心属性整合RE管理最新证据，设计个体化护理路径。结果 干预组在干预3个月后，反流症状评分（RDQ）、食管黏膜炎症程度、生活质量（GIS）、健康行为依从性及护理满意度均显著优于对照组（P<0.05）。结论 IDT框架有效促进了循证实践在RE护理中的系统化融入，为优化慢性病护理管理模式提供了理论驱动的新视角。

Abstract

Objective This study explores the practical effect of evidence-based nursing under the framework of innovative diffusion theory (IDT) in patients with reflux esophagitis (RE).
Methods 120 RE patients were divided into intervention group (IDT evidence-based nursing) and control group (conventional nursing) by randomized controlled trial design. The intervention group designed an individualized nursing path based on the integration of the latest evidence of RE management based on the five core attributes of IDT.
Results After 3 months of intervention, the reflux symptom score (RDQ), esophageal mucosal inflammation, quality of life (GIS), health behavior compliance and nursing satisfaction were significantly better than that of the control group (P<0.05).
Conclusion   The IDT framework effectively promotes the systematic integration of evidence-based practice in RE nursing, and provides a theoretically driven new perspective for optimizing the nursing management model for chronic diseases.