钟炜 李小悦

[摘要] 目的 探讨循证护理在高龄眼科门诊患者中的应用效果。 方法 2015年10～11月我院收治372例高龄眼科门诊患者分为常规护理组（n=185）和循证护理组（n=187）。比较两组患者焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、生活质量指数、护理满意度的差异。 结果 两组患者护理前SAS评分、SDS评分差异均无统计学意义（P>0.05）；两组患者护理后SAS评分、SDS评分均显著低于护理前（P<0.05）；护理后循证护理组SAS评分、SDS评分均显著低于常规护理组。循证护理组身体功能评分、角色功能评分、情绪功能、总体质量评分均显著优于常规护理组（P<0.05）。循证护理组护理满意率显著高于常规护理组（91.44% vs 73.51%，P=0.000）。 结论 循证护理改善高龄眼科门诊患者不良情绪和生活质量，有助于提升护理满意率。

[关键词] 循证护理；眼科；门诊；高龄；应用

[中图分类号] R816.97 [文献标识码] A [文章编号] 1674-4721（2016）03（c）-0195-04

[Abstract] Objective To investigate the application effects of evidence-based care on the aged outpatients in the department of ophthalmology. Methods 372 aged outpatients in the department of ophthalmology in our hospital from October to November 2015 were selected and divided into conventional care group （n=185） and evidence-based care group （n=187）.The differences of self-rating anxiety scale （SAS），self-rating depression scale （SDS），life-quality indexes and the satisfaction of care of the patients from both groups were analyzed. Results The SAS，SDS，life-quality indexes and satisfaction of the two groups before the care had no statistical differences （P>0.05）.The SAS，SDS，life-quality indexes and satisfaction of the two group after the care was significantly lower than that before the care respectively （P<0.05）.After the care，patients in evidence-based care group had significant lower SAS grades and SDS grades than patients in conventional care group.The score of body function，role function，emotional function and overall quality in the evidence-based care group was significantly better than that of conventional care group respectively （P<0.05）.The satisfaction of evidence-based care were significantly higher than that of control group （91.44% vs 73.51%，P=0.000）. Conclusion Evidence-based care can significantly improve the unhealthy emotion and life quality of the aged outpatients in the department of ophthalmology and increase the satisfaction of the care.

[Key words] Evidence-based care；Ophthalmology；Outpatient；Aged patient；Application

眼科门诊是医院提升护理服务质量的窗口[1-2]。随着人口老龄化和生活水平的提高，传统护理服务模式已不能满足患者对护理服务质量日益增长的需求[3]。近年来，随着循证医学的发展，将循证思想和理念应用于临床护理实践成为目前临床护理研究的重点。目前认为，循证护理是更为先进的护理理念，它将研究与临床实践完美结合，更能发挥临床护理的科学性与有效性[4]。本研究通过将循证护理用于高龄眼科门诊患者的临床护理实践，尝试规范高龄眼科门诊患者循证护理的流程，培养高龄眼科门诊循证护理团队，提高高龄眼科门诊患者满意度。

1 资料与方法

1.1 一般资料

收集2015年10～11月梧州市红十字会医院收治的372例高龄眼科门诊患资料，按随机数字表法，分为常规护理组（n=185）和循证护理组（n=187）。其中男性243例，女性129例；平均年龄（77.4±5.2）岁；其中白内障348例（占93.55%），其他24例；单眼发病263例（占70.70%），双眼发病109例（占29.30%）。纳入标准：①年龄超过70周岁的眼科初诊患者；②无交流和沟通障碍，能够与护理人员进行有效地交流和沟通；③独……