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目的评估循证护理在异位妊娠采用甲氨蝶呤保守治疗中的应用效果,为临床用药及选择合理的护理方案提供参考。方法选取94例我院妇产科接诊的异位妊娠患者进行研究,患者于2016年1月～2017年1月到我院就诊,若有患者采用甲氨蝶呤治疗。将患者随机分为两组,即观察组47例采用循证护理,对照组47例采用常规护理,对患者的护理效果及疗效进行分析。结果与对照组相比,观察组治愈率显著高于对照组,差异有统计学意义(P>0.05);与对照组比较,观察组HAMD、HAMA评分改善更明显,且存在显著统计学差异(P<0.05);观察组满意度评分、认知情况评分均高于对照组,经比较,两组存在显著统计学差异(P<0.05)。结论循证护理可显著改善患者负面情绪,提高患者对异位妊娠的认知及护理满意度,可在临床推广。
Objective To evaluate the effect of evidence-based nursing in the conservative treatment of methotrexate in ectopic pregnancy, and to provide reference for clinical medication and rational nursing plan. Methods A total of 94 cases of ectopic pregnancy with obstetrics and gynecology in our hospital were selected for study. Patients were admitted to our hospital from January 2016 to January 2017, and methotrexate was used in patients. The patients were randomly divided into two groups, namely, observation group 47 cases of evidence-based care, control group, 47 cases of routine care, the patient’s care and efficacy analysis. Results Compared with the control group, the cure rate in the observation group was significantly higher than that in the control group (P> 0.05). Compared with the control group, the HAMD and HAMA scores in the observation group improved more obviously and there was a statistically significant difference P <0.05). Satisfaction scores and cognitive scores of the observation group were higher than those of the control group. There was significant difference between the two groups (P <0.05). Conclusion Evidence-based nursing can significantly improve the negative emotions of patients and improve their awareness of ectopic pregnancy and nursing satisfaction in the clinical promotion.