循證護理在合并HBP、DM患者前列腺電切圍手術

陳惠洪 等

[摘要] 目的 探討循證護理在合并高血壓（High Blood Pressure， HBP）、糖尿病（Diabetes Mellitus， DM）患者前列腺電切圍手術期的護理效果。 方法 隨機選取2012年3月—2014年3月該院經行前列腺電切術治療且合并有HBP、DM的患者60例，將其隨機分成對照組及觀察組各30例，分別采用傳統護理模式及循證護理模式經行護理，后將兩組患者的滿意率、住院時間、恢復自主排尿時間、住院總費用、并發癥發生率以及護理前后生活質量評分（QOL）及前列腺癥狀評分（IPSS）和HBP、DM的控制情況進行比較。 結果 研究發現雖然兩組并發癥發生率差異無統計學意義（P>0.05），但觀察組住院時間、恢復自主排尿時間短于對照組，滿意率高于對照組，干預后QOL、IPSS評分及HBP、DM的控制情況優于對照組（P<0.05），而住院總費用差異無統計學意義（P>0.05）。 結論 循證護理在合并HBP、DM患者前列腺電切圍手術期的效果更明顯，可大幅度改善患者對HBP、DM的控制，提高患者生活質量，值得推廣應用。

[關鍵詞] 循證護理；高血壓；糖尿病；前列腺電切圍手術期；護理效果

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-0742（2015）09（a）-0157-03

Observational Study on the Effect of Evidence-based Nursing for Patients with HBP and DM Underwent Electro-prostatectomy During the Perioperative Period

CHEN Hui-hong1， ZHAN Chen-ju2， LIN Li-heng2， LIN Zheng-yan1， ZHENG Yan-hua1

1. Department of Urology， Mindong Hospital Affiliated to Fujian Medical University， Fu'an， Fujian Province， 355000 China；2. Nursing Department， Mindong Hospital Affiliated to Fujian Medical University， Fu'an， Fujian Province， 355000 China

[Abstract] Objective To study the effect of evidence-based nursing for patients with high blood pressure（HBP） and diabetes mellitus（DM） underwent electro-prostatectomy during the perioperative period. Methods 60 cases with HBP and DM underwent electro-prostatectomy in our hospital from March 2012 to March 2014 were selected and randomly divided into the control group and the observation group with 30 cases in each. The control group was treated by the traditional nursing mode， while the observation group was treated by the evidence-based nursing mode. The patient satisfaction， length of stay， recovery of spontaneous urination time， total cost of hospitalization， incidence of complications， quality of life （QOL） scores before and after nursing， International Prostate Symptom Score （IPSS） and control of HBP and DM were compared between the two groups. Results The study found the difference in the incidence of complications was not statistically significant between two groups， P>0.05. After intervention， compared with the control group， the observation group had shorter length of stay， P<0.05， shorter time for recovering spontaneous urination， P<0.05， higher patient satisfaction， P<0.05， better QOL scores， P<0.05， better IPSS， P<0.05， better control of HBP， P<0.05， and better control of DM， P<0.05. The difference in the total cost of hospitalization between the two groups was not statistically significant， P>0.05. Conclusion For patients with HBP and DM underwent electro-prostatectomy， evidence-based nursing has better effect， which can significantly control the HBP and DM， improve the quality of life， so it is worthy of wide application.

[Key word] Evidence-based nursing； High blood pressure； Diabetes mellitus； Perioperative period of electro-prostatectomy； Nursing effect

循證護理又稱為實證護理，其英文簡稱是EBN。“慎重、準確、明智地應用當前所獲得的最好的研究依據，并根據護理人員的個人技能和臨床經驗，考慮病人的價值、愿望和實際情況，三者結合制定出完整的護理方案”[1]，這是循證護理的定義。循證護理作為剛剛開始發展起來的模式，已開始廣泛應用于臨床護理實踐。該院自2012年3月—2014年3月共收治合并高血壓（High Blood Pressure， HBP）、糖尿病（Diabetes Mellitus， DM）的前列腺增生患者60例，于前列腺電切術圍手術期分兩組分別采用循證護理模式與傳統模式，而循證護理模式效果更好，現報道如下。