The impact of evidence-based nursing on the quality of life of patients undergoing joint replacement surgery
循证护理对关节置换术护理患者的生活质量影响

摘要

目的 探讨循证护理（Evidence-Based Nursing, EBN）在关节置换术患者护理中的应用效果。方法 本研究为随机对照试验。选取2024年1月至2024年10月于我院接受关节置换术的90例患者作为研究对象。采用随机数字表法将患者均分为观察组和对照组，每组45例。对照组实施常规护理，观察组在常规护理基础上接受循证护理干预。护理干预结束后，评估患者生活质量，焦虑和抑郁程度，护理服务满意度。结果 观察组患者的SF-36各维度（生理功能、情感角色、心理健康、社会功能、一般健康状况）评分均显著高于对照组（P<0.05）。两组患者的SAS和SDS评分均较干预前显著下降，但观察组下降幅度更为显著，SAS和SDS评分均显著低于对照组（P<0.05）。观察组患者护理总满意度为95.56%（43/45），显著高于对照组的82.22%（37/45）（P<0.05）。结论 循证护理能够有效提升关节置换术患者的生活质量，改善其焦虑、抑郁情绪，并提高患者对护理服务的满意度，值得临床推广。

Abstract

Objective To explore the application effect of Evidence Based Nursing (EBN) in the nursing of patients undergoing joint replacement surgery.
Methods This study is a randomized controlled trial. Select 90 patients who underwent joint replacement surgery in our hospital from January 2024 to October 2024 as the research subjects. The patients were divided into an observation group and a control group using a random number table method, with 45 cases in each group. The control group received routine nursing care, while the observation group received evidence-based nursing intervention on the basis of routine nursing care. After the nursing intervention, evaluate the patient's quality of life, anxiety and depression levels, and satisfaction with nursing services.
Results The SF-36 scores of the observation group patients in all dimensions (physiological function, emotional role, mental health, social function, general health status) were significantly higher than those of the control group (P<0.05). The SAS and SDS scores of both groups of patients decreased significantly compared to before intervention, but the observation group showed a more significant decrease, with SAS and SDS scores significantly lower than the control group (P<0.05). The overall satisfaction rate of the observation group patients with nursing care was 95.56% (43/45), significantly higher than the control group's 82.22% (37/45) (P<0.05).
Conclusion   Evidence based nursing can effectively improve the quality of life of patients undergoing joint replacement surgery, alleviate their anxiety and depression, and increase their satisfaction with nursing services, which is worthy of clinical promotion.