Evidence based practice for the application of feeding management after spinal operation
10.3760/cma.j.issn.1672-7088.2018.22.005
- VernacularTitle:循证护理实践程序在脊柱脊髓患者术后饮食管理中的应用
- Author:
Jingjing LIU
1
;
Xiaoling ZHANG
;
Zhengxiang CHEN
;
Yang XIAO
;
Jinfeng ZHENG
;
Shiting FAN
;
Yan SUN
;
Zheng ZHOU
;
Qiaomei FU
Author Information
1. 210008,南京大学医学院附属鼓楼医院脊柱外科 法国脊柱外科学会合作中心 南京大学-香港中文大学脊柱侧弯联合研究中心
- Keywords:
Post spinal operation;
Postoperation feeding;
Evidence-based medicine
- From:
Chinese Journal of Practical Nursing
2018;34(22):1701-1706
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of evidence based practice on feeding after spinal operation. Methods To formulate an answerable question, find the best available evidence, appraise the evidence and formulate the recommendations by using the method of evidence-based medicine. A total of 60 postoperative patients who received spinal operation were divided into observation group and control group (30 cases in each group). Those patients in control group received the routine diet guidance and the guidelines for the standardization of intake and consumption after spinal cord surgery were used for patients in observation group. The outcomes were evaluated by postoperative recovery and complications of patients after spinal operation. Results There were no significant difference in the incidence of nausea, vomiting , bloating and celialgia in the 5 hours after surgery and 2 hours after feeding between the two groups (P>0.05). The incidence of thirst and hunger in the 5 hours after surgery in observation group were 3.33％(1/30) and 13.33％(4/30).The incidence of thirst and hunger in the 5 hours after surgery in control group were 80.00％(24/30) and 83.33％(25/30). There were statistically significant in the incidence of thirst and hunger in the 5 hours after surgery between the two groups (χ2=36.27, 24.09, P<0.05). There were not statistically significant in the time of anal exsufflation and first defecation time between the two groups(P>0.05). Conclusions Evidence-based practice in the use of guidelines for the standardization of intake and consumption after spinal cord surgery can guide clinical practice.
