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目的探究约翰霍普金斯循证护理对住院危重鼻饲患者并发症的预防效果。方法选取2015年3月—2016年3月于该院接受鼻饲营养的住院危重患者141例。按照随机数表法,随机分为循证护理组和常规护理组,循证护理组71例,常规护理组70例。常规护理组采用常规护理措施,循证护理组采取约翰霍普金斯循证护理模式进行护理。在护理1个月后,填写患者满意度调查问卷。观察二组患者的并发症情况及患者满意度情况。结果循证护理组的反流发生率为5.36%,误吸发生率为5.36%,胃潴留发生率为3.57%,腹泻发生率0,均明显低于常规护理组的31.37%、19.61%、25.49%、15.69%(P<0.05)。对护理不满意的患者,循证护理组有7例,常规护理组中有23例。实施循证干预组患者的满意率为87.50%,明显高于仅采用常规护理组的54.90%(P<0.05)。结论约翰霍普金斯循证护理对住院危重鼻饲患者并发症的预防具有一定效果,能够明显降低住院危重鼻饲患者反流、误吸、胃潴留以及腹泻发生率,提高患者对护理的满意度。
Objective To explore the preventive effect of Johns Hopkins’ evidence-based nursing on the complication of patients with critical nasal feeding in hospital. Methods A total of 141 hospitalized critically ill patients were enrolled in this hospital from March 2015 to March 2016. According to random number table method, randomly divided into evidence-based care group and routine care group, evidence-based care group 71 cases, 70 cases of conventional care group. The routine care group used routine nursing interventions and the evidence-based care team adopted the Johns Hopkins evidence-based care model. After 1 month of nursing care, fill in the patient satisfaction questionnaire. Observe the complication and patient satisfaction of two groups of patients. Results The incidence of reflux was 5.36%, incidence of aspiration was 5.36%, gastric retention was 3.57% and incidence of diarrhea was 0% in the evidence-based care group, which were significantly lower than those in the general nursing group (31.37%, 19.61%, 25.49) %, 15.69% (P <0.05). In patients who were dissatisfied with their care, there were 7 evidence-based care groups and 23 conventional care groups. The satisfaction rate of patients receiving evidence-based intervention was 87.50%, significantly higher than that of the conventional nursing group (54.90%, P <0.05). Conclusion Johns Hopkins evidence-based nursing has some effect on the prevention of complication in patients with critical nasal feeding, and can significantly reduce the incidence of reflux, aspiration, gastric retention and diarrhea in patients with critical nasal feeding, and improve patient satisfaction with nursing.