Effect analysis of evidence-based nursing on reducing pulmonary infection after endovascular repairof abdominal aortic aneurysm
循证护理降低腹主动脉瘤腔内修复术后肺部感染的效果分析

摘要

目的 探析循证护理应用于腹主动脉瘤腔内修复术患者中，对降低术后肺部感染的作用效果。方法 项目研究时间2022年10月-2023年8月，选择此期间在我院采取腹主动脉瘤腔内修复术治疗的82例患者，将其平均分组，参照组41例患者行常规护理；干预组41例患者行循证护理。对比两组患者术后肺不张、肝部感染等情况。结果 干预组患者术后发生肺部感染的概率为2.44%较参照组的19.51%显著偏低（P<0.05）。干预组患者排痰的优良率为95.12%较参照组的82.93%（P<0.05）。结论 循证护理应用于腹主动脉瘤腔内修复术患者，能显著降低术后肺部感染的发生，有助于痰液的有效排出，具有较高的推广、应用价值。

Abstract

Objective To explore the effectiveness of evidence-based nursing in reducing postoperative pulmonary infection in patients undergoing endovascular repair of abdominal aortic aneurysm.
Methods The project was studied from October 2022 to August 2023. 82 patients who underwent endovascular repair of abdominal aortic aneurysms in our hospital during this period were selected and divided into an average group. A reference group of 41 patients received routine nursing care; 41 patients in the intervention group received evidence-based nursing. Compare the postoperative pulmonary atelectasis and liver infection between the two groups of patients.
Results The probability of postoperative pulmonary infection in the intervention group was 2.44%, which was significantly lower than the 19.51% in the reference group (P<0.05). The excellent and good rate of sputum excretion in the intervention group was 95.12%, compared to 82.93% in the reference group (P<0.05).
Conclusion   The application of evidence-based nursing in patients undergoing endovascular repair of abdominal aortic aneurysm can significantly reduce the occurrence of postoperative pulmonary infection and facilitate the effective discharge of sputum, which has high promotion and application value.