CAJ | 학술논문

目的：探讨循证护理在门诊混合性阴道感染患者健康教育中的应用效果。方法将168例混合性阴道感染患者随机分为观察组和对照组，每组各84例。观察组依据循证护理途径，首先提出问题，根据问题进行文献查询，寻求证据，确定问题，再用实证结合临床实际，制订健康教育计划并实施；对照组按常规健康教育方法。比较两组患者1个月返诊时对疾病相关知识认知情况、两个月后治疗行为情况及6个月后混合性引道感染复发率。结果1个月返诊时两组患者对疾病相关知识认知情况比较，P＜0.01，差异具有统计学意义，实验组知晓率明显高于对照组；两个月后两组患者卫生习惯、按疗程治疗、男方接受治疗及按时复查行为情况比较，均P＜0.01，差异具有统计学意义，实验组明显优于对照组；两组患者6个月后混合性引道感染复发率比较，P＜0.01，差异具有统计学意义，实验组患者复发率明显低于对照组。结论运用循证护理方法对阴道感染患者进行健康教育，可以使护士明确健康教育方向，提高患者对相关知识的认知，提高治疗依从性，降低复发率。
목적：탐토순증호리재문진혼합성음도감염환자건강교육중적응용효과。방법장168례혼합성음도감염환자수궤분위관찰조화대조조，매조각84례。관찰조의거순증호리도경，수선제출문제，근거문제진행문헌사순，심구증거，학정문제，재용실증결합림상실제，제정건강교육계화병실시；대조조안상규건강교육방법。비교량조환자1개월반진시대질병상관지식인지정황、량개월후치료행위정황급6개월후혼합성인도감염복발솔。결과1개월반진시량조환자대질병상관지식인지정황비교，P＜0.01，차이구유통계학의의，실험조지효솔명현고우대조조；량개월후량조환자위생습관、안료정치료、남방접수치료급안시복사행위정황비교，균P＜0.01，차이구유통계학의의，실험조명현우우대조조；량조환자6개월후혼합성인도감염복발솔비교，P＜0.01，차이구유통계학의의，실험조환자복발솔명현저우대조조。결론운용순증호리방법대음도감염환자진행건강교육，가이사호사명학건강교육방향，제고환자대상관지식적인지，제고치료의종성，강저복발솔。
Objective To explore the applications effect of evidence-based nursing in the health education for patients with mixed vaginal infections.Methods One hundred and sixty-eight patients with mixed vaginal infection were divided into observation group(n=84) and control group(n=84).Based on the evidence-based nursing method,the observation group first raised questions,then sought evidence to determine the conclusion according to the literature search,and finally combined with clinical evidence to formulate a reasonable plan for health education and effectively implemented.The control group was given conventional nursing.The two groups were compared in terms of rate of disease-related awareness in return visit 1 month after discharge,behavior 2 months after discharge and disease relapse 6 months after discharge.Results The rate of disease-related awareness and behavior in the experiment group were better than those of the control group significantly(all P<0.05).The rate of disease relapse of the experiment group was lower than that of the control group(P<0.01).Conclusion Application of evidence-based nursing method for patients with vaginal infections in health education can guide the nurses' health education target,improve the patients' cognitive and behavior and reduce the rate of disease relapse.