Application of evidence-based nursing in the prevention of position-related complications in pediatric surgery
循证护理在儿科手术体位相关并发症预防中的应用

摘要

目的 探究循证护理在儿科手术体位相关并发症预防中的应用效果。方法 选取2025年1月至2025年10月本院收治的62例需行手术治疗的患儿为研究对象，采用随机数字表法分为对照组与实验组，各31例。对照组实施儿科手术常规体位护理，实验组采用循证护理模式。比较两组患儿压疮、肢体血液循环障碍、神经损伤等并发症发生率及护理满意度。结果 实验组并发症总发生率为3.23%（1/31），显著低于对照组的19.35%（6/31），差异有统计学意义（χ2=4.022，P=0.045）；实验组护理满意度为96.77%（30/31），高于对照组的83.87%（26/31），差异有统计学意义（χ2=3.875，P=0.049）；实验组体位摆放耗时较对照组缩短，差异有统计学意义（t=5.598，P＜0.001）。结论 循证护理可有效降低儿科手术体位相关并发症发生率，提升护理满意度，优化护理流程，值得在临床推广应用。

Abstract

Objective To investigate the application effect of evidence-based nursing in the prevention of position-related complications in pediatric surgery.
Methods A total of 62 pediatric patients requiring surgical treatment admitted to our hospital from January 2025 to October 2025 were selected as the study subjects. They were randomly divided into a control group and an experimental group using a random number table, with 31 cases in each group. The control group received routine postoperative position care, while the experimental group adopted an evidence-based nursing model. The incidence rates of complications such as pressure ulcers, limb circulatory disorders, and nerve injuries, as well as nursing satisfaction, were compared between the two groups.
Results The total incidence rate of complications in the experimental group was 3.23% (1/31), significantly lower than that in the control group (19.35% (6/31)), with a statistically significant difference (χ2=4.022, P=0.045). The nursing satisfaction rate in the experimental group was 96.77% (30/31), higher than that in the control group (83.87% (26/31)), with a statistically significant difference (χ2=3.875, P=0.049). The time required for position adjustment in the experimental group was shorter than that in the control group, with a statistically significant difference (t=3.189, P=0.002).
Conclusion   Evidence-based nursing can effectively reduce the incidence of position-related complications in pediatric surgery, improve nursing satisfaction, and optimize nursing procedures, making it worthy of clinical promotion and application.