作　　者： (王小慧）; (李芳）;

机构地区： 广东省第二人民医院血液科,广东广州510317

出　　处： 《中外医疗》 2017年第20期162-164,共3页

摘　　要： 目的探讨循证护理在特发性血小板减少性紫癜(ITP)中的作用。方法方便选取该院2011年1月—2015年12月收治入院的ITP患者100例作为研究对象,随机分为观察组和对照组,每组50例。对照组患者实施常规紫癜护理方法,观察组患者在常规紫癜护理方法的基础上实施循证护理。统计两组患者住院天数、住院费用、健康知识掌握程度、满意度及治疗过程中不良反应发生率。结果观察组患者住院天数、住院费用分别为(11.8±2.5)d、(7 385.6±182.8)元,均明显低于对照组(17.2±3.0)d、(10 032.4±237.5)元,而观察组患者健康知识掌握程度评分(18.6±1.1)分,明显高于对照组(15.2±1.4)分,两组比较差异有统计学意义(P<0.05);观察组治疗满意度100.0%,对照组治疗满意度为88.0%,两组对比差异有统计学意义(P<0.05);观察组患者用药期间未发现有不良反应,对照组患者用药期间不良反应发生率16.0%,观察组不良反应发生率较对照组有显著下降(P<0.05)。结论实施循证护理干预有助于特发性血小板减少性紫癜患者减少并发症的发生,提高满意度,可在临床推广。 Objective To study the function of evidence-based nursing in patients with idiopathic thrombocytopenic purpura. Methods 100 cases of ITP patients admitted and treated in our hospital from January 2011 to December 2015 were convenient selected and divided into two groups with 50 cases in each, the control group adopted the routine nursing, while the observation group adopted the evidence-based nursing on the basis of the control group, and the length of stay, hospitalization cost, mastery degree of healthy knowledge, satisfactory degree and incidence rate of adverse reactions of the two groups were counted. Results The length of stay and hospitalization cost in the observation group were obviously lower than those in the control group [(11.8±2.5)d、(7 385.6±182.8)yuan vs(17.2±3.0)d、(10 032.4±237.5)yuan], and the mastery score of healthy knowledge in the observation group was obviously higher than that in the control group, [(18.6±1.1)points vs(15.2±1.4)points], and the difference was statistically significant(P<0.05), and the difference in the satisfactory degree between the observation group and the control group was obvious with statistical significance(100.0% vs 88.0%)(P<0.05), and the difference in the incidence rate of adverse reactions in the observation group obviously decreased compared with that in the control group(P<0.05). Conclusion The implementation of evidence-based nursing intervention contributes to reducing the occurrence of patients with idiopathic thrombocytopenic purpura and improving the satisfactory degree, and it is worth clinical promoted.

关 键 词： 循证护理 特发性血小板减少性紫癜 效果评价