摘要
目的研究循证护理在冠状动脉粥样硬化性心脏病（冠心病）介入治疗中的应用效果。方法选取2015年1~8月该院心内科接受介入治疗的冠心病患者116例,依照随机数字表法1∶1分为循证护理组和对照组,每组58例。对照组给予常规护理,循证护理组在常规护理基础上给予循证护理。观察两组患者介入治疗前后焦虑、抑郁、生活质量、心绞痛得分及术后并发症发生情况等。结果两组患者介入治疗前焦虑、抑郁、生活质量、心绞痛得分比较,差异均无统计学意义（P〉0.05）,介入治疗后焦虑、抑郁、生活质量、心绞痛得分均显著改善,循证护理组改善程度显著优于对照组,差异均有统计学意义（P〈0.05）。循证护理组术后腹胀、烦躁、腰痛、失眠、尿潴留等并发症发生率均低于对照组,差异均有统计学意义（P〈0.05）。结论循证护理用于冠心病介入治疗可有效改善患者焦虑、抑郁状况,提高生活质量,缓解心绞痛,效果显著,值得应用于临床。
Objective To study the application effect of evidence-based nursing （EBN） in the interventional therapy of coronary atheroselerosis heart disease （CAHD）. Methods 116 CAHD patients receiving the interventional therapy in the cardi- ology department of our hospital from January to August 2015 were selected and divided into the EBN group and the control group by the proportion of 1：1 according to the random number table,58 cases in each group. The control group was given the routine nursing, while on this basis the EBN group was given EBN. The scores of anxiety, depression, quality of life and stenocardia be- fore and after treatment, and postoperative complications occurrence situation were observed in the two groups. Results No sta- tistical difference was found in the scores of anxiety,depression, quality of life and stenocardia before treatment between the two groups （P〉0.05）. The scores of anxiety, depression, quality of life and stenocardia after treatment in the two groups were significantly improved, but the improvement degree of the EBN group was significantly better than that of the control group with statistical dif- ference （P〈0.05）. The incidence rates of postoperative complications such as abdominal distension, dysphoria, insomnia ,lumbar pain and uroschesis in the EBN group were lower than those in the control group with statistical difference （P〈0.05）. Conclusion EBN applied in the interventional therapy of CAHD can effectively improve anxiety and depression symptoms,enhances the quality of life, relieves stenocardia, has remarkable effect and is worthy of clinical application.
出处
《现代医药卫生》
2015年第24期3697-3699,共3页
Journal of Modern Medicine & Health
基金
河南省科学技术厅重点攻关项目(142102310396)
关键词
冠心病/护理
循证医学
冠状动脉疾病/治疗
Coronary disease/nursing
Evidence-based medicine
Coronary artery disease/therapy
