中医特色护理联合客观结构化临床考试在胃肠息肉内镜治疗中的应用研究
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摘要
目的:探讨中医特色护理与客观结构化临床考试(OSCE)在消化内科的应用效果。方法:将148例经内镜治疗的胃肠息肉患者,按照入院顺序编号后进行奇偶数字法分组,对照组74例接受常规护理,观察组74例在对照组基础上采用中医特色护理,最后2组均进行OSCE考核,比较2组患者胃肠功能恢复情况、疼痛视觉模拟评分法(VAS)评分、护理满意度以及护理执行力评分。结果:观察组首次排气时间、首次排便时间、肠鸣音恢复时间明显短于对照组,疼痛VAS评分低于对照组,护理满意度评分及护理执行力各项评分均高于对照组,2组比较,差异均有统计学意义(P <0.05)。结论:中医特色护理在胃肠息肉内镜治疗患者中的应用可有效帮助病情恢复,缓解疼痛,提高护理满意度和护理依从性;OSCE考核方法能够有效体现护士综合能力,为临床护理工作的评价提供参考。
Objective: To explore the application effect of special nursing care in Chinese medicine and OSCE in gastroenterology. Methods: Numbered 148 cases of patients with gastrointestinal polyps who underwent endoscopic treatment according to the order of admission and then grouped them by odd-even number method. 74 cases of patients in the control group received routine nursing, and other74 cases of patients in the observation group were additionally treated with special nursing care in Chinese medicine. Assessed the two groups by OSCE evaluation at last, and compared recovery of gastrointestinal function, scores of visual analogue scale(VAS), nursing satisfaction, and scores of nursing executive ability in the two groups. Results: The first exhaust time,first defecation time, and the recovery time of borborygmus in the observation group were significantly shorter than those in the control group; the VAS score was lower than that in the control group; and the scores of nursing satisfaction and nursing executive ability were higher than those in the control group,compared the two groups,differences being significant(P < 0.05). Conclusion: The application of special nursing care in Chinese medicine for patients with gastrointestinal polyps who underwent endoscopic treatment can effectively help the patients recover from disease, relieve pain, and improve nursing satisfaction and care compliance; the method of OSCE can significantly reflect the comprehensive ability of nurses and provide reference for the evaluation of clinical nursing work.
Objective: To explore the application effect of special nursing care in Chinese medicine and OSCE in gastroenterology. Methods: Numbered 148 cases of patients with gastrointestinal polyps who underwent endoscopic treatment according to the order of admission and then grouped them by odd-even number method. 74 cases of patients in the control group received routine nursing, and other74 cases of patients in the observation group were additionally treated with special nursing care in Chinese medicine. Assessed the two groups by OSCE evaluation at last, and compared recovery of gastrointestinal function, scores of visual analogue scale(VAS), nursing satisfaction, and scores of nursing executive ability in the two groups. Results: The first exhaust time,first defecation time, and the recovery time of borborygmus in the observation group were significantly shorter than those in the control group; the VAS score was lower than that in the control group; and the scores of nursing satisfaction and nursing executive ability were higher than those in the control group,compared the two groups,differences being significant(P < 0.05). Conclusion: The application of special nursing care in Chinese medicine for patients with gastrointestinal polyps who underwent endoscopic treatment can effectively help the patients recover from disease, relieve pain, and improve nursing satisfaction and care compliance; the method of OSCE can significantly reflect the comprehensive ability of nurses and provide reference for the evaluation of clinical nursing work.
引文
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[2]李桂芹,黄曙,周爱军,等.胃肠息肉内镜下治疗效果及其并发症的探讨[J].临床消化病杂志,2017,29(1):43-44.
[3]任育宏,张志强,高鸿亮,等.内镜与腹腔镜治疗胃黏膜下肿瘤的临床对比研究[J].中国内镜杂志,2016,22(11):6-10.
[4]李华,方志远,柏立群,等.中药外敷法对轻中度膝关节骨性关节炎WOMAC评分和VAS评分的影响[J].世界中医药,2017,12(4):803-806.
[5]张周娟.循证护理在无痛胃镜检查中的应用[J].中华全科医学,2016,14(3):498-500.
[6]程利,李艳,张振桐,等.以临床护理工作为中心的OSCE考核在护理本科毕业临床综合考核中的应用[J].齐鲁护理杂志,2016,22(3):35-37.
[7]柳瑞.中西医结合治疗腹部术后胃肠功能紊乱62例临床研究[J].中国中西医结合消化杂志,2016,24(11):880-883.
[8]黄颖娴,张宁,李婷珊,等.中医特色护理联合快速康复外科理念在大肠癌患者围术期中的应用效果[J].国际护理学杂志,2017,36(17):2316-2320.