当代护士（专科版）
噹代護士（專科版）
당대호사（전과판）
TODAY NURSE
2014年
9期
4-6
,共3页
循证护理%儿科%阻塞性睡眠呼吸暂停低通气综合征%并发症
循證護理%兒科%阻塞性睡眠呼吸暫停低通氣綜閤徵%併髮癥
순증호리%인과%조새성수면호흡잠정저통기종합정%병발증
Evidence-based Nursing%Pediatrics%Obstructive Sleep Apnea Hypopnea Syndrom%Complications
目的：探讨循证护理在儿童阻塞性睡眠呼吸暂停低通气综合征手术治疗中的应用效果。方法将402例阻塞性睡眠呼吸暂停低通气综合征行手术治疗的患儿按入院时间分成常规护理组194例和循证护理组208例，对常规护理组采用口头讲解和文字健康教育及临床一般护理常规等措施，循证护理组在常规护理组的基础上根据围手术期出现的护理问题、术后并发症，进行临床评估，应用循证护理的概念和实施步骤加以具体指导，和家长一起制定并实施护理方案，观察两组护理实施的临床效果。结果常规护理组术后并发症发生率明显高于循证护理组，循证护理组家长对疾病相关知识的认知程度和对护理的满意度显著高于常规护理组，差异均有统计学意义（P＜0.05）。结论循证护理能有效地保证手术的安全，防止和减少术后并发症的发生，提高护理质量并使患儿得到优质的护理服务，值得在儿科推广。
目的：探討循證護理在兒童阻塞性睡眠呼吸暫停低通氣綜閤徵手術治療中的應用效果。方法將402例阻塞性睡眠呼吸暫停低通氣綜閤徵行手術治療的患兒按入院時間分成常規護理組194例和循證護理組208例，對常規護理組採用口頭講解和文字健康教育及臨床一般護理常規等措施，循證護理組在常規護理組的基礎上根據圍手術期齣現的護理問題、術後併髮癥，進行臨床評估，應用循證護理的概唸和實施步驟加以具體指導，和傢長一起製定併實施護理方案，觀察兩組護理實施的臨床效果。結果常規護理組術後併髮癥髮生率明顯高于循證護理組，循證護理組傢長對疾病相關知識的認知程度和對護理的滿意度顯著高于常規護理組，差異均有統計學意義（P＜0.05）。結論循證護理能有效地保證手術的安全，防止和減少術後併髮癥的髮生，提高護理質量併使患兒得到優質的護理服務，值得在兒科推廣。
목적：탐토순증호리재인동조새성수면호흡잠정저통기종합정수술치료중적응용효과。방법장402례조새성수면호흡잠정저통기종합정행수술치료적환인안입원시간분성상규호리조194례화순증호리조208례，대상규호리조채용구두강해화문자건강교육급림상일반호리상규등조시，순증호리조재상규호리조적기출상근거위수술기출현적호리문제、술후병발증，진행림상평고，응용순증호리적개념화실시보취가이구체지도，화가장일기제정병실시호리방안，관찰량조호리실시적림상효과。결과상규호리조술후병발증발생솔명현고우순증호리조，순증호리조가장대질병상관지식적인지정도화대호리적만의도현저고우상규호리조，차이균유통계학의의（P＜0.05）。결론순증호리능유효지보증수술적안전，방지화감소술후병발증적발생，제고호리질량병사환인득도우질적호리복무，치득재인과추엄。
Objective To explore the effect of evidence-based nursing in the surgical treatment about children with obstructive sleep ap-nea hypopnea syndrom. Methods Chose 402 cases of obstructive sleep apnea hypopnea syndrom children in hospital time divided into routine nursing group 194 cases and the evidence-based nursing group 208 examples, the routine nursing group with oral interpretation and written general nursing routine health education, and in the bed, evidence-based nursing group on the basis of conventional nurs-ing group according to perioperative nursing problems, postoperative complications, clinical assessment, the application of the concept and implementation steps of evidence-based nursing to specific guidance, and parents together to develop and implement nursing plan, then to observe the clinic effect of the two groups. Results Occurrence of postoperative complications of conventional group was obvi-ously higher than that of evidence-based group, evidence-based nursing set of parents to the disease related knowledge cognition and satisfaction of nursing is significantly higher than normal group, difference was statistically significant (P<0.05). Conclusion Evidence-based nursing can effectively ensure the safety of surgery to prevent and reduce postoperative complications and to improve nursing quality and to make children get high quality nursing service, so it is worth popularizing in pediatric clinic.
