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目的:分析循证护理与个体化护理对肝胆外科患者的预后影响,为更好地服务患者提供参考依据。方法:选取2015年6月~2016年3月在浙江省宁波市鄞州人民医院肝胆外科住院的60例患者为研究对象,随机分为观察组与对照组,每组30例。观察组实施循证护理,对照组实施个体化护理,比较两组并发症发生情况、脏腑功能恢复情况和患者满意度。结果:对照组并发症发生率为23.1%,观察组为22.8%,两组比较无显著性差异(P>0.05);对照组认知功能、社会功能与观察组比较,无显著性差异(P>0.05);对照组的情感功能明显优于观察组(P<0.05);观察组的整体健康和躯体功能明显优于对照组(P<0.05)。结论:循证护理与个体化护理可从不同方面切入,有效控制肝胆外科患者治疗期间并发症的发生,个体化护理对于调节术后情感障碍等效果较好,循证护理在调整患者整体健康和解决躯体功能问题方面具有优势。
OBJECTIVE: To analyze the prognostic impact of evidence-based nursing and individualized nursing on patients with hepatobiliary surgery and provide a reference for better service to patients. Methods: From June 2015 to March 2016, 60 patients hospitalized in Hepatobiliary Surgery, Yinzhou People’s Hospital of Ningbo City, Zhejiang Province were selected as study subjects and randomly divided into observation group and control group, 30 cases in each group. The observation group conducted evidence-based nursing and the control group implemented individualized nursing. The incidence of complications, the recovery of viscera function and patient satisfaction were compared. Results: The incidence of complications was 23.1% in the control group and 22.8% in the observation group. There was no significant difference between the two groups (P> 0.05). There was no significant difference in the cognitive function and social function between the control group and the observation group > 0.05). The emotional function of the control group was significantly better than that of the observation group (P <0.05). The overall health and physical function of the observation group was significantly better than that of the control group (P <0.05). Conclusion: Evidence-based nursing and individualized nursing can be cut into different aspects, which can effectively control the occurrence of complications during the treatment of hepatobiliary surgery. Individualized nursing is better for the adjustment of postoperative emotional disorders. Evidence-based nursing is important in adjusting overall patient’s health and There are advantages to solving physical function problems.