循证护理对减少全膝关节置换术后出血的影响

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摘要目的研究全膝关节置换术后采用循证护理对控制切口出血、减少不必要输血的应用效果。方法选取2015年3～5月未建立循证护理小组前行全膝关节置换术患者45例作为对照组，另选取2015年8～10月建立循证护理小组后行全膝关节置换术患者47例作为观察组。对照组采用常规护理，观察组采用循证护理，比较两组患者术后切口引流量、输血率及医生对护士的护理满意度。结果观察组切口引流量及输血率明显少于对照组，差异有统计学意义（P＜0.05或P＜0.01）。观察组医生对护士护理满意度上升到97.87%，与对照组的66.67%比较，差异有统计学意义（P＜0.05）。结论循证护理使护理更具科学依据，能显著减少全膝关节置换术后出血量及输血率，促进患者康复，也使得医生对护士护理满意度大大提高，值得推广。

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	蔡丽霞
	吴长福
	李雪琴
	罗素冰
	胡洪欣
	陈君玉

关键词 ：全膝关节置换术, 循证护理, 引流量, 输血率

Abstract：Objective To study the app1ication effects of using evidence-based nursing in contro11ing incision hemorrhage and reducing unnecessary b1ood transfusion after tota1 knee rep1acement. Methods 45 cases who conducted tota1 knee rep1acement from March to May 2015，before set up evidence-based nursing group，were se1ected as contro1 group.47 cases who conducted tota1 knee rep1acement from August to October 2015，afterset up evidence-based nursing group，were se1ected as observation group.Patients in contro1 group were used routine nursing，and patients in observation group were used evidence-based nursing.Incision f1ow，b1ood transfusion rate and doctor on the nursing satisfaction after operation in two groups were compared. Results The incision f1ow and b1ood transfusion rate in observation group were obvious 1ess than that in contro1 group，and the difference was statistica11y significant (P＜0.05 or P＜0.01).The doctor on the nursing satisfaction in observation group increased to 97.87%，which was 66.67% in contro1 group，and the difference was statistica11y significant (P＜0.05). Conclusion Evidence-based nursing makes nursing with more scientific basis.It can obvious reduce postoperative b1eeding and b1ood transfusion rate，promote recovery and increase the doctor on the nursing satisfaction.It is worth to popu1arize.

Key words： Tota1 knee rep1acement Evidence-based nursing Drainage vo1ume B1ood transfusion rate

引用本文:

蔡丽霞;吴长福;李雪琴;罗素冰;胡洪欣;陈君玉. 循证护理对减少全膝关节置换术后出血的影响[J]. 中国当代医药, 2016, 23(6): 154-157.
CAI Li-xia;WU Chang-fu;LI Xue-qin;LUO Su-bing;HU Hong-xin;CHEN Jun-yu. ImPact of evidence-based nursing on reducing hemorrhage after total knee rePlacement. 中国当代医药, 2016, 23(6): 154-157.

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