引用本文:周培菊.[cn_title][J].[journal_cn_name],2020,[volume]([issue]):35-38.[点击复制]
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约翰霍普斯金循证护理实践模型护理预防喉切除术患者咽瘘发生的效果观察
周培菊
0
(苏州大学附属第一医院)
摘要:
目的 观察约翰霍普斯金循证护理实践模型(JHNEBP)护理对预防喉切除术患者咽瘘(PCF)发生的效果。方法 选取2016年1月至2018年6月苏州大学附属第一医院收治的75例择期行喉切除术患者为观察对象,按照入院单双顺序分为对照组(n=37)和观察组(n=38)。对照组实施常规护理干预,观察组实施JHNEBP护理干预,比较两组胃管留置时间、住院时间、心理状态[汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、并发症发生率及患者满意度。结果 观察组胃管留置时间和住院时间短于对照组(12.23±3.40 vs 17.83±5.22,12.64±3.45 vs17.79±5.20)(P<0.05),术后PCF和切口感染发生率低于对照组(5.26 vs27.03,5.26vs24.32)(P<0.05);干预1个月后观察组HAMA、HAMD评分低于对照组(P<0.05),服务态度评分、服务内容评分、人员素质评分及总分均高于对照组(P<0.05)。结论 JHNEBP护理能够预防喉切除术患者PCF发生率,缓解其心理状态,提高护理质量。
关键词:  喉切除术  咽瘘  约翰霍普斯金循证护理实践  围手术期护理  并发症预防
DOI:
基金项目:
Effect of Johns Hopkins Nursing Evidence Based Practice model on preventing occurrence of pharyngo-cutancous fistulae in patients receiving laryngectomy
zhoupeiju
(First Affiliated Hospital of Suzhou Universit)
Abstract:
Objective To explore the effect of Johns Hopkins Nursing Evidence Based Practice (JHNEBP) model on preventing occurrence of pharyngo-cutancous fistulae (PCF) in patients receiving laryngectomy. Methods A total of 75 patients who underwent laryngectomy from January 2016 to June 2018 were enrolled in the study. They were divided into control group (n=37) and observation group (n=38) according to even-odd order of admission. The patients in control group were treated with routine nursing intervention. While, the patients in observation group were treated with the intervention of JHNEBP model. The indwelling time of gastric tube, length of stay, psychological status ( detected by Hamilton Anxiety Scale [HAMA] and Hamilton Depression Scale [HAMD]), incidence of complications as well as patients satisfaction were compared between the two groups. Results The indwelling time of gastric tube and length of stay in the observation group were shorter than those in the control group (P<0.05). And the incidences of PCF and incision infection in the observation group was lower than those of control group (5.26 vs 27.03, 5.26 vs 24.32) (P<0.05). After one month of intervention, the HAMA and HAMD scores in the observation group were lower than those in the control group (P<0.05). The scores of service attitude, service content and personnel quality in control group were higher than those of the control group (P<0.05). Conclusion The incidence of PCF in patients receiving laryngectomy can be reduced through the application of JHNEBP model which relieves the psychological status of patients.
Key words:  Laryngectomy  Pharyngeal fistula  Evidence-based nursing practice of Johns Hopkins  Perioperative nursing  Prevention of complications

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