循证护理应用于经皮冠状动脉介入患者围术期的效果评价  

Effect of evidence-based nursing interventions used in perioperative patients with percutaneous coronary intervention

作　　者：黄林芬[1] 傅国胜[2] 

机构地区：[1]浙江省瑞安市人民医院医务科,浙江瑞安325200 [2]浙江大学医学院附属邵逸夫医院心内科,浙江杭州310016

出　　处：《中国现代医生》2013年第33期116-118,122,共4页China Modern Doctor

基　　金：国家自然科学基金(81070163)

摘　　要：目的探讨循证护理经桡动脉穿刺冠状动脉造影及支架置入的患者围术期的效果。方法 136例患者随机分为干预组和对照组各68例,对照组采用传统护理干预,干预组采用循证护理干预,比较两组术后24 h、48 h、72 h舒适度及并发症和护理满意度。结果术后24 h、48 h、72 h干预组GCQ各维度评分及总分均显著高于对照组(P均<0.05)。干预组腰痛、尿潴留、低血压的发生率显著低于对照组(P<0.05)。干预组患者对护理的满意度显著高于对照组(P<0.05)。结论循证护理可有效提高经皮冠状动脉介入患者围术期的护理技能和针对性,减少腰痛、尿潴留和低血压的发生,显著提高患者术后舒适度和护理满意度,值得推广。Objective To evaluate effect of evidence-based nursing ransradial coronary angiography and stent implan- tation with perioperative patients. Methods A total of 136 case of coronary heart disease were randomized to the inter- vention group and control group with 68 cases in each, the control group used traditional nursing intervention, inter- vention group used evidence-based nursing, compared postoperative 24, 48, 72 h comfort, complications and nurs- ing satisfaction degrees. Results After percutaneous coronary intervention ,the intervention group 24, 48, 72 h GCQ each dimension score and total score were significantly higher than control group （P 〈 0.05）. Intervention group back pain, urinary retention, the incidence of hypotension were significantly lower than the control group （P 〈 0.05）. Nursing satisfaction degrees of intervention group were significantly higher than the control group （P 〈 0.05）. Con- clusion Evidence-based nursing intervention in patients with coronary heart disease effectively improve perioperative nursing skills and targeted to reduce back pain, urinary retention and hypotension, patients significantly improved comfort and nursing satisfaction, worthy of promotion.

关 键 词：循证护理 冠心病 冠状动脉腔内成形术 围术期 

分 类 号：R473.5[医药卫生—护理学]