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目的:探究循证护理在腹壁切口子宫内膜异位症患者中的应用及效果。方法:选取2015年1月-2016年10月在本院进行治疗的56例腹壁切口子宫内膜异位症患者作为研究对象,所有受试患者均采用手术治疗方法进行临床治疗,根据临床护理方案的不同将所有受试患者分对照组和试验组,各28例。对照组患者采用常规护理方案进行护理,试验组患者则采用循证护理方案进行护理。对比护理后两组患者的疼痛改善情况、生活质量及对护理工作的满意度。结果:护理前,两组疼痛程度比较,差异无统计学意义(P>0.05);护理后,两组疼痛程度均有一定程度下降,且试验组疼痛症状改善程度显著优于对照组(P<0.05)。护理后,试验组的躯体功能、情绪功能、社会功能以及总体健康评分均显著优于对照组(P<0.05),躯体疼痛评分低于对照组(P<0.05)。试验组患者对护理工作的满意度为96.43%(27/28),高于对照组的78.57%(22/28),差异有统计学意义(P<0.05)。结论:对腹壁切口子宫内膜异位症患者采用常规护理方法以及循证护理方法均能取得一定程度的临床护理效果,但循证护理方法的护理效果更加显著,不仅可有效缓解患者的疼痛症状,提高患者治疗后的生活质量,更有助于显著提高患者对护理工作的满意度,值得临床广泛推广应用。
Objective: To explore the application of evidence-based nursing in patients with abdominal incision endometriosis. Methods: From January 2015 to October 2016 in our hospital for treatment of 56 cases of abdominal incision endometriosis patients as the object of study, all patients were treated by surgical treatment of clinical treatment, according to clinical nursing program The difference of all the patients in the control group and the experimental group, 28 cases each. Patients in the control group were treated with routine nursing programs, while those in the test group were treated with evidence-based nursing programs. The pain relief, quality of life and satisfaction with nursing were compared between the two groups after care. Results: Before nursing, there was no significant difference in the degree of pain between the two groups (P> 0.05). After the nursing, the degree of pain in both groups decreased to a certain degree, and the pain symptom improvement rate in the experimental group was significantly better than that in the control group (P < 0.05). Body function, emotional function, social function and overall health score of the experimental group were significantly better than those of the control group (P <0.05) after nursing. The somatic pain score was lower than that of the control group (P <0.05). The satisfaction rate of nursing work in experimental group was 96.43% (27/28), which was higher than that in control group (78.57%, 22/28), the difference was statistically significant (P <0.05). CONCLUSIONS: Both conventional nursing and evidence-based nursing can achieve a certain degree of clinical nursing effect in patients with abdominal incision endometriosis. However, the nursing effect of evidence-based nursing is even more significant, which can not only effectively relieve pain symptoms of patients , Improve the quality of life of patients after treatment, but also help to significantly improve patient satisfaction with nursing work, it is worth widely clinical application.