徐丹 蔡旗旗 吴先龙

[摘要] 目的 探讨脊髓损伤重症患者护理中循证护理的应用对护理质量的影响效果。 方法 选取我院2018年1月至2019年1月收治的80例脊髓损伤重症患者，采用随机数字法分为两组，对照组应用常规护理，研究组应用循证护理。对两组患者的SAS评分、SDS评分、护理质量和护理满意度进行比较。 结果 护理后，研究组SAS评分为（51.2±1.1）分和SDS评分（55.6±3.9）分，均低于对照组的（60.3±2.2）分、（65.6±4.2）分，差异有统计学意义（P<0.05）;研究组基础护理为（94.2±5.3）分、专科护理（93.5±4.8）分、操作技能（93.6±5.2）分、护理文书（96.2±3.5）分，均优于对照组（84.1±4.2）分、（77.5±4.9）分、（83.4±5.5）分、（81.7±4.9）分，差异有统计学意义（P<0.05）;研究组护理满意度为97.5%，明显高于对照组的75.0%，差异有统计学意义（P<0.05）。 结论 在脊髓损伤重症患者护理中应用循证护理，有利于提高护理质量，在临床上值得进一步推广应用。

[關键词] 脊髓损伤;重症患者;循证护理;护理质量

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）31-0165-04

[Abstract] Objective To explore the effect of evidence-based nursing on nursing quality in nursing care of patients with severe spinal cord injury （SSCI）. Methods A total of 80 patients with SSCI admitted to our hospital from January 2018 to January 2019 were randomly divided into two groups. The control group was given routine nursing， while the study group was given evidence-based nursing. Self-rating anxiety scale （SAS） score，self-rating depression scale （SDS） score， nursing quality and nursing satisfaction were compared between the two groups. Results After nursing， the SAS score （51.2±1.1）points and SDS score （55.6±3.9） points of the study group were lower than （60.3±2.2）points and （65.6±4.2）points of the control group， and the difference was statistically significant（P<0.05）. The basic nursing （94.2±5.3） points， specialized nursing （93.5±4.8）points， operation skills （93.6±5.2）points and nursing record sheets （96.2±3.5）points of the study group were superior to those of the control group [（84.1±4.2）points，（77.5±4.9）points，（83.4±5.5）points and （81.7±4.9）points]，and the difference was statistically significant（P<0.05）.The nursing satisfaction of the study group was 97.5%， which was significantly higher than that of the control group （75.0%， P<0.05）. Conclusion Evidence-based nursing can improve the nursing quality in the nursing of patients with SSCI， which is worthy of further application and popularization in clinic.

[Key words] Spinal cord injury; Severe patients; Evidence-based nursing; Nursing quality

如今在我国，脊髓损伤已成为严重外伤性的一种疾病，会使得脊髓损伤患者丧失劳动力，严重影响患者及其家庭的日常生活与工作[1]。而循证护理在临床上是一种新型的护理模式，循证护理是指护理人员在计划护理活动过程中，审慎地、明确地、明智地将科研结论与临床经验、患者愿望相结合，获取证据，作为临床护理决策依据的过程。将科学、可信的结果作为研究依据，通过提出问题，探寻实证，最后运用实证与客观条件相结合，其中客观条件主要是护理研究依据、患者的实际病情和基本信息要求、护理人员的专业知识和经验，从而为患者制定一套有针对性的完善的护理干预方案。……