循证护理对皮肤疮疡患者如意金黄散外敷治疗后的护理价值探究
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摘要
目的探究循证护理干预对皮肤疮疡患者如意金黄散外敷治疗后的护理价值。方法选取2016年8月—2017年8月于杭州市红十字会医院治疗的皮肤疮疡患者100例,并按照随机数字法分为常规护理组和循证护理组各50例,对2组皮肤疮疡患者使用如意金黄散外敷治疗,对常规护理组采取基础护理,循证护理组进行循证护理干预。统计2组患者焦虑自评量表(self rating anxiety scale,SAS)、抑郁自评量表(self rating depression scale,SDS)评分情况以及生活质量、护理质量评分,对2组患者住院时间以及家属总满意度进行统计。结果护理后常规护理组与循证护理组患者SAS、SDS评分均出现明显下降,循证护理组患者SAS、SDS评分低于常规护理组(均P<0.05);护理后,2组患者躯体功能、情绪功能及社会功能评分均出现一定程度上升,且循证护理组患者躯体功能、情绪功能及社会功能评分均高于常规护理组(均P<0.05);循证护理组皮肤疮疡患者住院时间更短,且护理质量评分更高,与常规护理组相比差异具有统计学意义(均P<0.05);循证护理组家属总满意度达96.00%,明显高于常规护理组84.00%的家属总满意度(P<0.05)。结论循证护理能够明显改善患者心理状态,促进患者身体恢复,患者及家属更加满意。
Objective To explore the clinical value of evidence-based nursing intervention in the treatment of patients with skin ulcers with Ruyi golden yellow powder.Methods A total of 100 patients with skin ulcers who were treated in our hospital from August 2016 to August 2017 were selected,and were divided into routine nursing group and evidencebased nursing group with 50 cases in each group according to the numerical randomization method.Patients with skin ulcers were selected for the treatment with ruyi golden powder external application,and the conventional nursing group received basic nursing and the evidence-based nursing group received evidence-based nursing intervention.The self-rating Anxiety Scale(SAS) and self-rating Depression Scale(SDS) of the two groups were statistically analyzed,as well as the scores of quality of life and quality of care.The satisfaction rates of patients and family members in both groups were calculated.Results After nursing,the SAS and SDS scores of patients in the conventional nursing group and the evidencebased nursing group were significantly decreased,and the SAS and SDS scores of patients in the evidence-based nursing group were lower than those in the conventional nursing group,showing a statistical difference(all P < 0.05).After nursing,the scores of somatic function,emotional function and social function of patients in the two groups all increased to some extent,and the scores of somatic function,emotional function and social function of patients in the evidencebased nursing group were higher than those in the conventional nursing group,showing statistical differences(all P <0.05).Patients in the evidence-based nursing group with skin sores were hospitalized for a shorter time and had a higher quality of care score,which was statistically different from the conventional nursing group(all P < 0.05).The total satisfaction of family members of the evidence-based nursing group was as high as 96.00%,significantly higher than that of the routine nursing group(84.00%),showing a statistical difference(P < 0.05).Conclusion Evidence-based nursing can significantly improve patients' mental state,promote patients' physical recovery and make patients and their families more satisfied.
Objective To explore the clinical value of evidence-based nursing intervention in the treatment of patients with skin ulcers with Ruyi golden yellow powder.Methods A total of 100 patients with skin ulcers who were treated in our hospital from August 2016 to August 2017 were selected,and were divided into routine nursing group and evidencebased nursing group with 50 cases in each group according to the numerical randomization method.Patients with skin ulcers were selected for the treatment with ruyi golden powder external application,and the conventional nursing group received basic nursing and the evidence-based nursing group received evidence-based nursing intervention.The self-rating Anxiety Scale(SAS) and self-rating Depression Scale(SDS) of the two groups were statistically analyzed,as well as the scores of quality of life and quality of care.The satisfaction rates of patients and family members in both groups were calculated.Results After nursing,the SAS and SDS scores of patients in the conventional nursing group and the evidencebased nursing group were significantly decreased,and the SAS and SDS scores of patients in the evidence-based nursing group were lower than those in the conventional nursing group,showing a statistical difference(all P < 0.05).After nursing,the scores of somatic function,emotional function and social function of patients in the two groups all increased to some extent,and the scores of somatic function,emotional function and social function of patients in the evidencebased nursing group were higher than those in the conventional nursing group,showing statistical differences(all P <0.05).Patients in the evidence-based nursing group with skin sores were hospitalized for a shorter time and had a higher quality of care score,which was statistically different from the conventional nursing group(all P < 0.05).The total satisfaction of family members of the evidence-based nursing group was as high as 96.00%,significantly higher than that of the routine nursing group(84.00%),showing a statistical difference(P < 0.05).Conclusion Evidence-based nursing can significantly improve patients' mental state,promote patients' physical recovery and make patients and their families more satisfied.
引文
[1]宋永卫.双黄连粉针剂联合黄芪注射液治疗难治性皮肤疮疡的疗效观察[J].中国伤残医学,2014,22(20):149-150.
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[6]李佩云,李春芳,孙力.缺血性脑病患儿高压氧疗疗法对SAS、SDS影响分析[J].海南医学院学报,2017,23(15):2135-2137,2141.
[7]纪敏,叶永秀.中药食疗配合延续性护理对中老年糖尿病患者SAS、SDS、SES评分及血糖水平的影响[J].湖北中医药大学学报,2017,19(3):63-66.
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[11]徐阳,李云平.张庚扬治疗疮疡病用药经验[J].中国中西医结合外科杂志,2015,21(6):597-599.
[12]徐光耀,李萍.复方南瓜藤软膏治疗疮疡阳证(未溃期)的临床研究[J].中国中医急症,2016,25(2):289-292.
[13]王蕴珠,代红雨,苏智慧,等.温通法在疮疡治疗中的应用[J].现代中医临床,2016,23(4):58-60.
[14]计敏利,王琼花,刘春珍.五神汤加减联合如意金黄散膏剂外敷治疗丹毒的疗效观察[J].护理研究,2015,29(31):3945-3947.
[15]宦红美,张艳,俞雪华.老年压疮循证护理小组干预模式的应用效果评价[J].实用临床医药杂志,2016,20(22):173-174.
[16]王旖磊,胡雁.循证护理能力的概念分析[J].护士进修杂志,2015,30(11):971-974.
[17]王旖磊,胡雁.上海市三级医院护士循证护理能力现况及影响因素分析[J].中国实用护理杂志,2017,33(11):867-871.
[18]李影,张锦锦,冯杰,等.规范化压疮护理体系的构建[J].护士进修杂志,2017,32(5):388-391.
[19]黄芬霞,叶清建.全面优质护理对急性前葡萄膜炎患者生活质量及SAS、SDS评分的影响[J].临床医学工程,2017,24(5):709-710.
[20]王卫南.护理干预对手外伤皮瓣术后患者功能锻炼疼痛程度和SAS、SDS评分的影响分析[J].系统医学,2018,3(3):184-186.
[21]高彩霞,张利宁,郭小平.心理疏导和精神护理对老年抑郁症患者SAS、SDS评分及护理满意度的影响[J].检验医学与临床,2018,15(2):220-222.
[22]王延梅,谢荣荣.综合护理对急性前葡萄膜炎患者SAS、SDS评分的影响分析[J].临床医学研究与实践,2018,3(3):156-157.
[2]周安,朱永康.中医外科疮疡初探[J].陕西中医,2014,35(12):1659-1661.
[3]胡倩,尹继云,王林泉,等.疮疡灵治疗皮肤真菌感染的疗效观察[J].中国临床药理学杂志,2013,29(4):257-259.
[4]林晶,洪敏.肖定远教授治疗皮肤疮疡的体会[J].医药前沿,2015,5(21):317-318.
[5]杨晓洁,李萍.疮疡未溃期外治疗法研究进展[J].湖南中医杂志,2014,30(10):180-182.
[6]李佩云,李春芳,孙力.缺血性脑病患儿高压氧疗疗法对SAS、SDS影响分析[J].海南医学院学报,2017,23(15):2135-2137,2141.
[7]纪敏,叶永秀.中药食疗配合延续性护理对中老年糖尿病患者SAS、SDS、SES评分及血糖水平的影响[J].湖北中医药大学学报,2017,19(3):63-66.
[8]王月美,陈质雅.神经外科手术围术期的循证护理对患者并发症及生活质量的影响[J].国际护理学杂志,2017,36(21):2949-2952.
[9]张双强,裴晓华,张艳冉,等.疮疡外治临床研究进展[J].世界中西医结合杂志,2014,9(11):1252-1256.
[10]陈美珍,沈晓红,许粉年,等.拔罐联合艾灸治疗顽固性疮疡疗效观察[J].河北中医,2016,38(1):120-122.
[11]徐阳,李云平.张庚扬治疗疮疡病用药经验[J].中国中西医结合外科杂志,2015,21(6):597-599.
[12]徐光耀,李萍.复方南瓜藤软膏治疗疮疡阳证(未溃期)的临床研究[J].中国中医急症,2016,25(2):289-292.
[13]王蕴珠,代红雨,苏智慧,等.温通法在疮疡治疗中的应用[J].现代中医临床,2016,23(4):58-60.
[14]计敏利,王琼花,刘春珍.五神汤加减联合如意金黄散膏剂外敷治疗丹毒的疗效观察[J].护理研究,2015,29(31):3945-3947.
[15]宦红美,张艳,俞雪华.老年压疮循证护理小组干预模式的应用效果评价[J].实用临床医药杂志,2016,20(22):173-174.
[16]王旖磊,胡雁.循证护理能力的概念分析[J].护士进修杂志,2015,30(11):971-974.
[17]王旖磊,胡雁.上海市三级医院护士循证护理能力现况及影响因素分析[J].中国实用护理杂志,2017,33(11):867-871.
[18]李影,张锦锦,冯杰,等.规范化压疮护理体系的构建[J].护士进修杂志,2017,32(5):388-391.
[19]黄芬霞,叶清建.全面优质护理对急性前葡萄膜炎患者生活质量及SAS、SDS评分的影响[J].临床医学工程,2017,24(5):709-710.
[20]王卫南.护理干预对手外伤皮瓣术后患者功能锻炼疼痛程度和SAS、SDS评分的影响分析[J].系统医学,2018,3(3):184-186.
[21]高彩霞,张利宁,郭小平.心理疏导和精神护理对老年抑郁症患者SAS、SDS评分及护理满意度的影响[J].检验医学与临床,2018,15(2):220-222.
[22]王延梅,谢荣荣.综合护理对急性前葡萄膜炎患者SAS、SDS评分的影响分析[J].临床医学研究与实践,2018,3(3):156-157.