循证护理应用于经皮冠状动脉支架植入患者围术期舒适度的效果评价  

Evidence- based nursing for patients receiving percutaneous coronary intervention in perioperative period: evaluation of patient's comfortableness

作　　者：黄林芬[1] 朱国庆[1] 叶向阳[1] 王永光[1] 林莉[1] 许秀芳[2] 

机构地区：[1]浙江省瑞安市人民医院医务科,325200 [2]解放军第八五医院南京军区介入放射中心

出　　处：《介入放射学杂志》2014年第6期542-545,共4页Journal of Interventional Radiology

基　　金：浙江省温州市科技项目(2011S0036)

摘　　要：目的探讨经皮穿刺冠状动脉造影及支架植入的患者围术期循证护理的效果。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措施,干预组采用循证护理干预,比较两组术后24、48、72 h舒适度,并发症和护理满意度。结果术后24、48、72 h干预组舒适量表(GCQ)各维度评分及总分均显著高于对照组(均P<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)。结论循证护理有效提高对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 the effect of evidence- based nursing for patients receiving percutaneous coronary intervention and stent implantation. Methods A total of 136 patients with coronary heart disease were randomly divided into the intervention group （n = 68） and the control group （n = 68）. Traditional nursing measures were employed for the patients of the control group , while evidence-based nursing intervention was adopted for the patients of the intervention group. The patient’s comfortableness, satisfaction and the occurrence of complications were determined at 24, 48 and 72 hours after the operation, and the results were compared between the two groups. Results At 24, 48 and 72 h after percutaneous coronary intervention, the each dimension score of GCQ and the total score of the intervention group were significantly higher than those of the control group （P〈0.05）. The occurrence of back pain, urinary retention and hypotension in the intervention group was significantly lower than those of the control group （P 〈 0.05）. Patient’s satisfaction extent of the intervention group was significantly better than that of the control group （P 〈 0.05）. Conclusion Evidence-based nursing intervention can effectively enhance the nursing skill and orientation, and reduce the occurrence of back pain, urinary retention and hypotension, thus improve patient’s comfortableness and satisfaction. Therefore, evidence - based nursing intervention should be recommended in clinical practice.

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]