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目的:探究循证护理干预对结直肠癌术后留置管路患者医源性感染及护理满意度的影响。方法:选择2012年3月-2017年3月湖州市吴兴区中西医结合医院收治的64例结直肠癌患者,于术后患者均留置管路。采用随机数字表法将其分为两组,即观察组给予循证护理干预,对照组给予常规护理干预。观察并记录两组导管医源性感染以及脱管情况;采用医院自制满意度调查表评估护理满意度;采用生活质量量表(GQOLI-74)评估护理干预前后生活质量。结果:观察组导管医源性感染发生率为3.12%,脱管发生率为6.25%均显著低于对照组(P<0.05);观察组护理满意度为96.88%显著高于对照组(P<0.05);两组干预前生活质量评分对比无统计学差异(P>0.05);观察组躯体功能评分、物质生活状态评分、心理领域评分、社会领域评分均显著高于对照组(P<0.05)。结论:结直肠癌术后留置管路患者采用循证护理干预,能够显著控制医源性感染的发生,提高护理满意度,改善生活质量,效果良好。
Objective: To investigate the influence of evidence-based nursing intervention on iatrogenic infection and nursing satisfaction in patients with colorectal cancer after catheter placement. Methods: From March 2012 to March 2017, 64 patients with colorectal cancer who were admitted to Wuxing District Hospital of Integrated Traditional Chinese and Western Medicine in Huzhou City were enrolled in the study. The use of random number table method is divided into two groups, that is, the observation group to give evidence-based nursing intervention, the control group given routine nursing intervention. The incidence of iatrogenic catheterization and catheter ablation were observed and recorded in the two groups. Nursing satisfaction was assessed by hospital self-satisfaction questionnaire. Quality of life (QOLI-74) was assessed before and after nursing intervention by Quality of Life Scale (GQOLI-74). Results: The incidence of iatrogenic infection was 3.12% in the observation group and 6.25% in the control group (P <0.05). The nursing satisfaction in the observation group was significantly higher than that in the control group (96.88%, P < 0.05). There was no significant difference in quality of life before intervention between two groups (P> 0.05). Body function score, physical state score, psychological field score and social field score in the observation group were significantly higher than those in the control group (P <0.05) . Conclusion: Evidence-based nursing intervention in patients with colorectal cancer after catheter placement can significantly control the occurrence of iatrogenic infection, improve nursing satisfaction and improve quality of life, with good results.