Application effects of evidence-based nursing combined with clinical nursing pathway in patients with neck,shoulder,low back and leg pain
Objective:To observe application effects of evidence-based nursing combined with clinical nursing pathway in patients with neck,shoulder,low back and leg pain.Methods:The clinical data of 82 patients with neck,shoulder,low back and leg pain admitted to this hospital from March 2020 to March 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,41 cases each.The control group was given routine nursing,while the observation group was given the evidence-based nursing combined with clinical nursing pathway.Both groups received continuous nursing for 3 months.The pain[visual analogue scale(VAS)]score,the self-care ability[exercise of self-care agency scale(ESCA)]score,the negative emotion[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]score,the quality of life[short form health survey(SF-36)]score,the activities of daily living[Bathel index(BI)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the scores of VAS,HAMA and HAMD in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of ESCA dimensions such as self-care skills,self-concept,health knowledge level and self-care responsibility in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SF-36 and BI in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 97.56%(40/41),which was higher than 75.61%(31/41)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based nursing combined with clinical nursing pathway in the patients with neck,shoulder,low back and leg pain can reduce the scores of pain and negative emotions,improve the scores of self-care ability,quality of life,activities of daily living and the nursing satisfaction.Moreover,it is superior to the routine nursing.
Evidence-based nursingClinical nursing pathwayNeck,shoulder,low back and leg painNegative emotionQuality of lifeActivity of daily livingNursing satisfaction