CAJ | 학술논문

目的探讨循证护理对改善泌尿外科术后输尿管外引流与内支架管内引流患者护理需求的效果.方法选取2009年6月至2011年10月于泌尿外科进行手术的62例患者为研究对象,随机分为对照组和观察组各31例,分别采用常规护理和循证护理模式进行护理,后将2组患者的护理需求及护理前、护理后3,5d的护理效果进行比较.结果所有患者均存在相关知识指导需求、心理不良情绪疏导需求、社会支持需求,且输尿管外引流与内支架管内引流患者在这些需求方面无显著差异,干预后观察组的各个评估项目改善幅度均优于对照组.结论泌尿外科术后输尿管外引流与内支架管内引流的患者存在相关知识指导需求、心理不良情绪疏导需求及社会支持需求,循证护理模式可以更为有效地改善患者的这些项目的需求状态.
목적 탐토순증호리대개선비뇨외과술후수뇨관외인류여내지가관내인류환자호리수구적효과.방법 선취2009년6월지2011년10월우비뇨외과진행수술적62례환자위연구대상,수궤분위대조조화관찰조각31례,분별채용상규호리화순증호리모식진행호리,후장2조환자적호리수구급호리전、호리후3,5d적호리효과진행비교.결과 소유환자균존재상관지식지도수구、심리불량정서소도수구、사회지지수구,차수뇨관외인류여내지가관내인류환자재저사수구방면무현저차이,간예후관찰조적각개평고항목개선폭도균우우대조조.결론 비뇨외과술후수뇨관외인류여내지가관내인류적환자존재상관지식지도수구、심리불량정서소도수구급사회지지수구,순증호리모식가이경위유효지개선환자적저사항목적수구상태.
Objective To study the effect of evidence-based nursing on improving the nursing requirement of patients with ureter external drainage and inner stent drainage after urological operation. Methods 62 patients in department of urinary surgery from June 2009 to October 2011 were selected as research object,and they were randomly divided into the control group and the observation group with 31 cases in each group,the two groups adopted routine nursing mode and evidence-based nursing mode respectively.Then the nursing requirement and nursing effect before and three and five days after nursing were compared between two groups. Results All the patients existed needs of related knowledge guidance,unhealthy emotion adjustment and social support,and the needs of patients between ureter external drainage and inner stent drainage showed no significant differences,improvement level of each items of the observation group after nursing were all better than those of the control group. Conclusions The patients with ureter external drainage or inner stent drainage have needs of related knowledge guidance,unhealthy emotion adjustment and social support,and the evidence-based nursing mode can effectively improve the patients'demand situations of these items.