CAJ | 학술논문

目的探讨循证护理对留置导尿患者舒适度的影响.方法将300例留置导尿患者按随机数字表法分为对照组和观察组,各150例,对照组采用常规护理方法,观察组应用循证护理程序,检索相关的文献并结合临床经验及患者的需求选择最佳护理证据,制订具体护理方案,并根据疼痛、尿频、尿急、尿意评估两组患者的舒适度.结果对照组舒适度0级5例、Ⅰ级65例、Ⅱ级80例、Ⅲ级0例;观察组舒适度0级69例、Ⅰ级47例、Ⅱ级34例、Ⅲ级0例,两组患者比较差异有统计学意义(U=7.42,P＜0.01).结论将循证护理应用于留置导尿患者,可较好地提高留置尿管期间患者的舒适度.
목적 탐토순증호리대류치도뇨환자서괄도적영향.방법 장300례류치도뇨환자안수궤수자표법분위대조조화관찰조,각150례,대조조채용상규호리방법,관찰조응용순증호리정서,검색상관적문헌병결합림상경험급환자적수구선택최가호리증거,제정구체호리방안,병근거동통、뇨빈、뇨급、뇨의평고량조환자적서괄도.결과 대조조서괄도0급5례、Ⅰ급65례、Ⅱ급80례、Ⅲ급0례;관찰조서괄도0급69례、Ⅰ급47례、Ⅱ급34례、Ⅲ급0례,량조환자비교차이유통계학의의(U=7.42,P＜0.01).결론 장순증호리응용우류치도뇨환자,가교호지제고류치뇨관기간환자적서괄도.
Objective To explore the influence of evidence-based nursing on the comfort level of patient with indwelling urethral catheterization.Methods Total of 300 patients with indwelling urethral catheterizationwere divided into control group and observation group according to random number table method,with 150 patients in each group,respectively.Common nursing method wasadoptedto the control group,while evidence-based nursing interventionwas applied for observation group.Relevant literature was retrieved to select the optimal nursing evidence according to the clinical experience and patients' demand,to develop specific nursing planand assess the comfort level of the patients in the two groups according to pain level,frequent urination,urgent urination,micturition desire.Results In the control group,5 patients' comfort was in level 0 ; 65 patients' comfort was in level Ⅰ; 80 patients' comfort was in level Ⅱ; 0 patients' comfort was in level Ⅲ.In the observation group,69 patients' comfort was in level 0; 47 patients' comfort was in level Ⅰ; 34 patients' comfort was in level Ⅱ; 0 patients' comfort was in level Ⅲ.The difference of comfort level of the patients in the two groups had statistical significance (U =7.42,P ＜ 0.01).Conclusions The application of evidence-based nursing intervention can improve the comfort level of patient in indwelling urethral catheterization during the retention period.