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目的:通过对比观察常规护理和循证护理在ICU患者中的临床应用效果,探讨循证护理在ICU患者中的临床应用价值。方法:选取2013年3月-2015年2月在笔者所在医院ICU住院治疗的患者100例,按照随机数字表法将患者分为对照组和观察组两组,每组各50例,其中对照组患者采取常规护理措施,观察组患者在常规护理措施的基础上添加循证护理措施,对比观察两组患者的压疮发生率、留置导管的感染率、治疗有效率、住院时间和护理满意度。结果:观察组患者的压疮发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者留置导管的感染率明显低于对照组,差异有统计学意义(P<0.05)。观察组患者的治疗有效率和护理满意度明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的住院天数明显短于对照组,差异有统计学意义(P<0.05)。结论:循证护理是基于循证医学的基础上建立起来的,在临床中护理ICU患者时应用循证护理措施,不仅能提高治疗有效率,减少患者的身心痛苦,还能明显缩短住院时间,减轻患者的经济负担,此外还能有效提高患者的护理满意度,缓和紧张的医患关系,促进医患关系的和谐建设,因此临床中应该推广循证护理的应用范围。
Objective: To compare the clinical effects of routine nursing and evidence-based nursing in patients with ICU by comparing the clinical application value of evidence-based nursing in ICU patients. Methods: From March 2013 to February 2015, 100 patients hospitalized in the ICU of the author’s hospital were selected. According to the random number table, the patients were divided into control group and observation group, with 50 cases in each group. The control group The patients were given routine nursing interventions. The observation group was given evidence-based nursing measures based on the routine nursing measures. The incidence of pressure ulcers, catheterization infection rate, treatment efficiency, hospital stay and nursing satisfaction were compared between the two groups. Results: The incidence of pressure ulcers in observation group was significantly lower than that in control group (P <0.05). The infection rate of indwelling catheter in observation group was significantly lower than that in control group (P <0.05) ). The treatment efficiency and nursing satisfaction in the observation group were significantly higher than those in the control group, the differences were statistically significant (P <0.05); the length of stay in the observation group was significantly shorter than that in the control group, the difference was statistically significant (P <0.05 ). CONCLUSION: Evidence-based nursing is based on evidence-based medicine. Evidence-based nursing can be applied in nursing ICU patients in clinic, which not only can improve the treatment efficiency, reduce patients’ physical and mental pain, but also significantly reduce the length of hospital stay, Reduce the patient’s financial burden, in addition to effectively improve patient satisfaction with nursing care, ease the tension between the doctor-patient relationship and promote the harmonious construction of doctor-patient relationship, so the clinical application of evidence-based nursing should be promoted.