Combined application of predictive nursing and evidence-based nursing in operating room nursing
手术室护理中的预见性护理和循证护理结合应用

摘要

目的 探讨手术室护理中的预见性护理和循证护理结合应用效果，为临床护理提供参考。方法择取2020年7月～2021年3月期间在我院手术治疗的74例患者为对象，按照随机数表法将其分为参照组与研究组两组，各组患者均37例。其中参照组患者采用常规护理干预，而研究组患者给予预见性护理和循证护理干预，观察与对比分析两组患者临床护理效果。结果 经研究分析发现：①研究组患者护理满意度为97.30%（36/37）高于参照组78.38%（29/37），且组间差异明显（X2=4.554，P=0.033）；②研究组患者呼之睁眼时间、呼之握拳时间及自主呼吸时间短于参照组，且组间差异均十分明显（P＜0.05）；③研究组患者护理干预后术后并发症发生率1/37（2.70%）低于参照组8/37（21.62%），且组间差异明显（X2=4.554，P=0.033）。结论 对手术室治疗患者给予预见性护理和循证护理干预所达到的效果明显，不但可以促进患者快速恢复苏醒与降低并发症发生率，还可提高手术安全性，在临床护理中值得推广使用。

Abstract

Objective: To explore the application effect of the combination of predictive nursing and evidence-based nursing in operating room nursing, and to provide reference for clinical nursing.
Methods: A total of 74 patients who were surgically treated in our hospital from July 2020 to March 2021 were selected as the subjects, and they were divided into the reference group and the study group according to the random number table method, with 37 patients in each group. The patients in the reference group were given routine nursing intervention, while the patients in the research group were given predictive nursing and evidence-based nursing intervention. The clinical nursing effects of the two groups were observed and compared.
Results: After research analysis, it was found that: ① the nursing satisfaction of the patients in the study group was 97.30% (36/37) higher than that in the reference group, 78.38% (29/37), and the difference between the groups was significant (X2=4.554, P=0.033); ② The eye-opening time, fist-clenching time and spontaneous breathing time of the patients in the study group were shorter than those in the reference group, and the difference between the groups was very significant (P<0.05). 37 (2.70%) were lower than 8/37 (21.62%) in the reference group, and the difference between groups was significant (X2=4.554, P=0.033).
Conclusion  : The effect of predictive nursing and evidence-based nursing intervention on patients treated in the operating room is obvious, which can not only promote the rapid recovery of patients and reduce the incidence of complications, but also improve the safety of surgery, which is worthy of popularization in clinical nursing.