循证护理在预防老年骨折术后患者便秘中的应用

目的：探讨循证护理（EBN）在预防老年骨折术后便秘中的应用效果。方法：将102例住院治疗的老年骨折患者随机分为对照组和观察组，对照组采用常规护理方法，观察组应用循证护理的方法及步骤进行护理：找出急需解决的护理问题，在查阅文献的基础上，结合相关调查，找出与老年骨折术后便秘的相关因素，最后在循证支持的基础上，将所获得的实证与临床专业知识和既往经验、患者需求相结合，制定出个性化的护理计划，并实施护理计划。比较两组患者术后便秘的发生率和住院时间等情况。结果：观察组术后便秘的发生率明显低于对照组，且住院时间比对照组明显缩短，两组间比较，差异具有统计学意义（P〈0．01）。结论：循证护理不仅预防和减少了老年骨折患者的术后便秘，而且提高了护理质量，激发了护士对学习、科研、工作的兴趣。

Evidence-based Nursing in the Prevention of the Elderly Fracture Surgery in Patients with Constipation

Objective： Explore evidence-based nursing （EBN） prevent senile fracture surgery constipation. Method： 102 cases of hospitalized elderly fracture patients were randomly divided into a control group and the observation group, Control group using conventional care method, observation method and step of the application of evidence-based nursing in nursing, and find out the nursing problem needed to resolve, on the basis of literature review, combined with the related investigation, find out and old fractures of postoperative constipation related factors, and finally on the basis of the evidence-based support, will have the evidence with clinical expertise and experience, patient demand, develop personalized care plans, and implement a plan of care. Compare two groups of patients the incidence of postoperative constipation and length of hospital stay, and so on and so forth. Results： The incidence of postoperative constipation observation group was significantly lower than the control group, and the length of hospital stay was significantly shorter than the control group, two groups, the difference was statistically significant （P〈0.01）. Conclusion： Evidence-based nursing is not only to prevent and reduce postoperative constipation elderly fracture patients, and improve the quality of care, stimulate the nurses＇ interest in learning, research, and work.