循证护理在鼾症手术患者口腔护理中的应用.docxVIP

循证护理在行改良UPPP手术鼾症患者口腔护理中的应用刘忠俊李虹芬【摘要】目的探讨循证护理在行改良UPPP手术鼾症患者口腔护理中的临床应用效果。方法将行改良UPPP手术鼾症患者 60例, 随机分为常规组与循证组各30例, 常规组采用常规术前口腔护理，术后口腔冲洗法, 循证组采用循证护理方法, 确定临床实践中的问题,检索有关医学文献, 根据循证获得的证据, 对患者实施最佳的护理, 并观察其效果。结果两组行改良UPPP手术鼾症患者的口腔感染，口腔溃疡、污垢残留、口臭、创口出血等问题比较, 差异有统计学意义。结论循证护理作为一种理想的临床护理实践, 应用于鼾症手术患者的护理, 能显著降低患者口腔内的污物残留, 降低口腔感染，减少口腔溃疡、创口出血，利于患者的早日康复。【关键词】循证护理; 鼾症; 口腔护理【中图分类号】R473. 52 【文献标识码】B 【文章编号】The Clinical Application of Evidence based Nursing in Oral Health Care of Patients with modified UPPP surgeryliu zhongjun the First People’s Hospital of Jingmen city, Jingmen ,448000,Hubei ,China【Abstract】Objective To investigate the clinical application of evidence based nursing in oral health care of patients with modified UPPP surgery.Methods 60 patients with modified UPPP surgery were randomly divided into normal group(30 patients) and evidence based group(30 patients). Normal group were treated with conventional preoperative oral care and postoperative oral rinse , and evidence based group with evidence based nursing methods .problems in clinical practice was identified and the related information from the medical literature was retrieved. According to the information, the patients were given the best care and the effect observed. Results Between the two groups of patients with residual dirt , bad breath, oral ulcer , and other issues , the differences were significant(P 0. 05) . Conclusion As an ideal method applied to patients with snoring surgery, evidence based nursing practice can significantly reduce the residual dirt inside the oral cavity, oral ulcer， the incidence of bleeding .To facilitate the recovery of patients at an early date.【Key words】Evidence based Nursing; Oral Care; Snoring surgery;循证护理是新医学模式下护理实践的工作模式，是护理发展的趋势，是 20 世纪 90 年代护理领域中兴起的新观点，新思维。它是整体护理的延伸和完善，这个观念同整体护理一样，渗透到各个领域，使护士行为产生巨大转变，促进护理学科的发展。循证护理 (evidence based nursing, EBN )又称实证护理, 其定义为: 慎重、准确、明智地应用当前所获得的最好的研究依据, 并根据护理人员的个人技能和临床经验, 考虑患者的价值、愿望和实际情况, 三者结合制定出完整的护理方案[1]。目前, 循证护理正在成为现代护理发展的方向, 被逐步应用于临床护