冼燕君?麦志芹

[摘要] 目的 对老年患者纤支镜围手术期实施循证护理后的护理效果进行分析。 方法 选取2016年4月～2017年3月我院收治的48例纤支镜患者作为此次研究对象，随机分为常规护理组（24例）和循证护理组（24例），对两组患者的护理效果进行比较分析。 结果 （1）经过护理后，循证护理组患者不良反应发生率41.7%明显低于常规护理组患者不良反应发生率79.2%，差异具有统计学意义（P<0.05）。（2）经过护理后，循证护理组患者的护理满意度95.8%明显优于常规护理组患者66.7%，差异具有统计学意义（P<0.05）。 结论 循证护理在老年患者纤支镜围手术期中更具有人性化、科学化的优点，有效的提高了患者的依从性，降低了患者不良发应的发生率，值得在临床中广泛推广和使用。

[关键词] 循证护理；老年纤支镜；围手术期；护理效果

[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）14-139-03

Nursing effect of evidence-based nursing in perioperative period of fiberoptic bronchoscopy in elderly patients

XIAN Yanjun MAI Zhiqin

Zhaoqing Gaoyao People's Hospital，Zhaoqing 526040，China

[Abstract] Objective To analyze the nursing effect of evidence-based nursing in elderly patients with fiberoptic bronchoscopy during perioperative period. Methods 48 patients with fiberoptic bronchoscopy，who were admitted to our hospital from April 2016 to March 2017，were chosen as the subjects，and were randomly divided into routine nursing group（24 cases）and evidence-based nursing group（24 cases）.The nursing effects of the two groups were compared and analyzed. Results After nursing，the incidence of adverse reactions in the evidence-based nursing group was 41.7%，and significantly lower than that in the routine nursing group（79.2%），with statistically significant difference.After nursing，the satisfaction degree of the patients in the evidence-based nursing group was 95.8%，which was obviously better than that of the routine nursing group（66.7%）.The difference of the data was statistically significant（P<0.05）. Conclusion During the perioperative period，Evidence based nursing for elderly patients with fiberoptic bronchoscopy has the advantages of humanization and scientific，effectively improves the compliance of patients，reduces the incidence of adverse reactions，and is worth popularizing and using widely in clinic.

[Key words] Evidence-based nursing；Elderly fiberoptic bronchoscopy；Perioperative period；Nursing effect

纖支镜检查是临床呼吸系统疾病中常用的一种诊断方法，纤支镜检查可以深入到患者的肺部从而发现在一般检查中难以发现的一些疾病，具有较大的临床价值[1-3]。然而纤支镜检查属于有创检查，会对患者的心理产生一定的影响。循证护理是临床中一种新型的护理模式，护理人员在护理实践中使用有价值的、有科学依据的证据，再结合本身的专业技能和临床经验，并根据患者的实际情况实施的护理[4-6]。此次研究针对循证护理在老年纤支镜围手术期中的护理效果展开讨论分析，现报道如下。

1 资料与方法

1.1 一般资料

选取2016年4月～2017年3月我院收治的48例纤支镜患者作为此次研究对象，随机分为常规护理组和循证护理组。其中常规护理组患者24例，男16例，女8例，年龄60～68岁，平均（64.0±7.2）岁，11例患者为肺部感染，6例患者为肺不张，4例患者为肺间质纤维化，3例患者为肺部肿瘤；循证护理组患者24例，男16例，女8例，年龄60～71岁，平均（65.5±7.7）岁，10例患者为肺部感染，6例患者为肺不张，5例患者为肺间质纤维化，3例患者为肺部肿瘤，两组病例基本情况比较差异无统计学意义（P>0.05），具有可比性。……