马苏朋

[摘要]目的探討循证护理在急性阑尾炎患者中的应用效果。方法选取在聊城市中医医院2020年6月至2021年1月治疗的急性阑尾炎患者66例，采用随机数字表法将其分为参照组36例及治疗组30例，参照组患者采用常规护理方法，治疗组在参照组的基础上采用循证护理。分析比较两组患者护理前后疼痛评分情况、护理满意度及术后并发症发生情况。结果护理后，两组疼痛评分均较护理前下降，差异有统计学意义（ P <0.05）。护理前，两组疼痛评分比较，差异无统计学意义（ P >0.05）;护理后，治疗组患者疼痛评分显著低于参照组，差异有统计学意义（ P <0.05）。治疗组患者的护理总满意度为96.67%，明显高于参照组的72.22%，差异有统计学意义（ P <0.05）。治疗组患者中并发症总发生率为6.67%，明显低于参照组的25.00%，差异有统计学意义（χ2=3.960，P=0.046）。结论将循证护理应用于急性阑尾炎患者中，可以有效缓解患者的疼痛，提高患者的护理满意度，降低术后各种并发症的发生。

[关键词]急性阑尾炎;循证护理;护理满意度;并发症

[中图分类号] R473.6 [文献标识码] A  [文章编号]2095-0616（2021）22-0115-03

Application effect of evidence-based nursing in patients with acute appendicitis

MA  Supeng

Department of General Surgery， Hospital of Traditional Chinese Medicine of Liaocheng City in Shandong Province， Shandong， Liaocheng 252000， China

[Abstract] Objective To explore the effect of evidence-based nursing in patients with acute appendicitis. Methods A total of 66 patients with acute appendicitis treated in Hospital of Traditional Chinese Medicine of Liaocheng City from June 2020 to January 2021 were randomly divided into the control group （n=36） and the treatment group （n=30）. The patients in the control group were treated with conventional nursing， and the patients in the treatment group were treated with evidence-based nursing on the basis of the same nursing in the control group. The pain score， nursing satisfaction and postoperative complications were analyzed and compared between the two groups before and after nursing. Results After nursing， the pain scores of the two groups decreased compared with those before nursing， with statistically significant difference （P <0.05）. Before nursing， there was no statistically significant difference in pain score （P >0.05）. After nursing， the pain score in the treatment group was significantly lower than that in the control group， with statistically significant difference （P <0.05）. The total nursing satisfaction of the patients in the treatment group was 96.67%， which was significantly higher than that in the control group （72.22%）， with statistically significant difference （P <0.05）. The total incidence of complications in the treatment group was 6.67%， which was significantly lower than that in the control group （25.00%）， with statistically significant difference （χ2=3.960， P=0.046）. Conclusion The application of evidence-based nursing can effectively relieve the pain， improve the nursing satisfaction and reduce the occurrence of postoperative complications for patients with acute appendicitis.

[Key words] Acute appendicitis; Evidence-based nursing; Nursing satisfaction; Complications

急性阑尾炎伴发急性腹痛，为常见的急腹症之一。急性阑尾炎发病率较高，病情进展迅速，若未得到及时治疗可发生穿孔及腹膜炎等，严重威胁患者健康[1-3]。该疾病发病突然，病情进展迅速，临床上普遍采用手术方式进行治疗，因此可能对该疾病患者造成较大的精神压力，产生不良的负面情绪等，从而影响其治疗效果及疾病的恢复[4-6]。因此，针对急性阑尾炎患者采用相关的护理措施具有重要意义，循证护理为积极主动的了解并结合患者的实际病情，采用科学的伦理依据，制订与患者病情相适应的护理方法，基于此，本研究对聊城市中医医院收集的30例急性阑尾炎患者实施循证护理干预，分析其在急性阑尾炎中的应用效果，现报道如下。

1资料与方法

1.1一般资料

选取在聊城市中医医院2020年6月至2021年1月治疗的急性阑尾炎患者66例进行研究分析。……