护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
11期
59-62
,共4页
邱新香%夏丽华%郑倩玲%梁伟辉%郭卫军%陈慈珊
邱新香%夏麗華%鄭倩玲%樑偉輝%郭衛軍%陳慈珊
구신향%하려화%정천령%량위휘%곽위군%진자산
职业性手臂振动病%循证实践%护理
職業性手臂振動病%循證實踐%護理
직업성수비진동병%순증실천%호리
occupational hand-arm vibration disease%evidence-based practice%nursing care
目的：探讨职业性手臂振动病（hand-arm vibration disease，HAVD）科学有效的护理方法。方法成立循证护理小组，针对2011年1月-2012年6月收治的126例手臂振动病住院患者的护理问题，通过计算机检索维普期刊全文数据库，中国期刊全文数据库、万方医学数据库、MEDLINE、SCI等数据库寻找文献支持，并结合临床实践，为本组患者制定、实施科学系统的循证护理方案。结果入院时本组患者手麻、手痛和双手痛觉、触觉与振动觉减弱发生率分别是100%、68.3%、92.1%、94.4%、42.9%，冷水复温试验、神经肌电图检查异常率92.9%、100%。实施循证护理实践方案后手麻、手痛和双手痛觉、触觉与振动觉减弱得到改善的总有效率分别为96.1%、97.6%、58.6%、56.3%、59.3%，冷水复温试验、神经肌电图检查异常治疗后总有效率分别为88.0%、97.6%。结论采用循证方法为手臂振动病患者实施整体护理，提高了患者对疾病相关知识知晓度和治疗依从性，住院期间患者未发生负性心理应对事件，积极配合治疗，改善了受损末梢神经和微循环。
目的：探討職業性手臂振動病（hand-arm vibration disease，HAVD）科學有效的護理方法。方法成立循證護理小組，針對2011年1月-2012年6月收治的126例手臂振動病住院患者的護理問題，通過計算機檢索維普期刊全文數據庫，中國期刊全文數據庫、萬方醫學數據庫、MEDLINE、SCI等數據庫尋找文獻支持，併結閤臨床實踐，為本組患者製定、實施科學繫統的循證護理方案。結果入院時本組患者手痳、手痛和雙手痛覺、觸覺與振動覺減弱髮生率分彆是100%、68.3%、92.1%、94.4%、42.9%，冷水複溫試驗、神經肌電圖檢查異常率92.9%、100%。實施循證護理實踐方案後手痳、手痛和雙手痛覺、觸覺與振動覺減弱得到改善的總有效率分彆為96.1%、97.6%、58.6%、56.3%、59.3%，冷水複溫試驗、神經肌電圖檢查異常治療後總有效率分彆為88.0%、97.6%。結論採用循證方法為手臂振動病患者實施整體護理，提高瞭患者對疾病相關知識知曉度和治療依從性，住院期間患者未髮生負性心理應對事件，積極配閤治療，改善瞭受損末梢神經和微循環。
목적：탐토직업성수비진동병（hand-arm vibration disease，HAVD）과학유효적호리방법。방법성립순증호리소조，침대2011년1월-2012년6월수치적126례수비진동병주원환자적호리문제，통과계산궤검색유보기간전문수거고，중국기간전문수거고、만방의학수거고、MEDLINE、SCI등수거고심조문헌지지，병결합림상실천，위본조환자제정、실시과학계통적순증호리방안。결과입원시본조환자수마、수통화쌍수통각、촉각여진동각감약발생솔분별시100%、68.3%、92.1%、94.4%、42.9%，랭수복온시험、신경기전도검사이상솔92.9%、100%。실시순증호리실천방안후수마、수통화쌍수통각、촉각여진동각감약득도개선적총유효솔분별위96.1%、97.6%、58.6%、56.3%、59.3%，랭수복온시험、신경기전도검사이상치료후총유효솔분별위88.0%、97.6%。결론채용순증방법위수비진동병환자실시정체호리，제고료환자대질병상관지식지효도화치료의종성，주원기간환자미발생부성심리응대사건，적겁배합치료，개선료수손말소신경화미순배。
Objective To explore a scientific and effective nursing method for occupational hand-arm vibration disease (HAVD). Methods An evidence-based nursing team was established. From January 2011 to Jane 2012, 126 cases of hospitalized patients with HAVD were included as subject. Literature review was conducted by computer retrieval in VIP, CNKI, MEDLINE and SCI and specific evidence-based nursing intervention was then developed combined with clinical practice. Results The occurrence of numbness, pain, weakening of algesthesia, thigmesthesia and pallesthesia of both hands decreased from 100%, 68.3%, 92.1%, 94.4%, 42.9%respectively before the treatment to 96.1%, 97.6%, 58.6%, 56.3%, 59.3% respectively after the treatment and the abnormal rate of cold water temperature test (CWLT) and neuromuscular electrical diagram (ENMG) decreased from 92.9% and 100% before treatment to 88.0% and 97.6% after treatment. Conclusion Evidence-based nursing intervention benefits the improvement of knowledge and compliance of patients with HAVD and lays a foundation for the development of standardized nursing and clinical nursing path.
