摘要
目的探究约翰霍普金斯循证护理对住院危重鼻饲患者并发症的预防效果。方法选取2015年3月—2016年3月于该院接受鼻饲营养的住院危重患者141例。按照随机数表法,随机分为循证护理组和常规护理组,循证护理组71例,常规护理组70例。常规护理组采用常规护理措施,循证护理组采取约翰霍普金斯循证护理模式进行护理。在护理1个月后,填写患者满意度调查问卷。观察二组患者的并发症情况及患者满意度情况。结果循证护理组的反流发生率为5.36%,误吸发生率为5.36%,胃潴留发生率为3.57%,腹泻发生率0,均明显低于常规护理组的31.37%、19.61%、25.49%、15.69%(P<0.05)。对护理不满意的患者,循证护理组有7例,常规护理组中有23例。实施循证干预组患者的满意率为87.50%,明显高于仅采用常规护理组的54.90%(P<0.05)。结论约翰霍普金斯循证护理对住院危重鼻饲患者并发症的预防具有一定效果,能够明显降低住院危重鼻饲患者反流、误吸、胃潴留以及腹泻发生率,提高患者对护理的满意度。
Objective To explore the preventive effect of evidence- based nursing on patients with severe nasal feeding by John Hopkins. Methods From March 2015 to March 2016 in author＇s hospital, 141 cases of critically ill hospitalized patients with nasal feeding were selected. According to the random number table method, they were randomly divided into the evidence- based nursing group and routine nursing group, evidence-based nursing group 71 cases, routine nursing group 70 cases. The routine nursing group was treated with routine nursing, and the evidence- based nursing group was treated with John Hopkins＇s evidence- based nursing mode. After 1 month of care, the patient satisfaction questionnaire was filled out. The complications and patient satisfaction of the two groups were observed. Results The incidence rate of reflux was 5. 36%, and the incidence of aspiration was 5. 36%, the incidence of gastric retention was 3.57%, and the incidence of diarrhea was 0, which were significantly lower than that of the routine care group （31.37%, 19.61%, 25.49% ,15.69%）. There were 7 cases of patients who were not satisfied with the nursing care, and there were 23 cases in the routine nursing group. The satisfaction rate of the patients in the intervention group was 87. 50 %, which was significantly higher than that of the conventional nursing group （only 54. 90% ） （P〈0.05）. Conclusions John Hopkins evidence - based nursing has a certain effect on the prevention of complications in critically ill hospitalized patients with nasal feeding, can significantly reduce hospitalization in critically ill patients with nasal feeding reflux, aspiration, gastric retention and diarrhea incidence, improve the patients＇ satisfaction to nursing.
出处
《中国煤炭工业医学杂志》
2017年第5期587-590,共4页
Chinese Journal of Coal Industry Medicine
基金
河北省卫计委指导性课题(编号:20150942)
关键词
约翰霍普金斯循证护理
住院危重患者
鼻饲
并发症
John Hopkins evidence based nursing
Critically ill patients in hospital
Nasal feeding
Complication
