循证护理对老年冠状动脉粥样硬化性心脏病患者生活质量和心理状况的影响  

The effect of evidence-based nursing on quality of life and mental status in elderly patients with coronary atherosclerotic heart disease

作　　者：潘媛媛[1] 彭羽[1] PAN Yuan-yuan PENG Yu(Sichuan Province Medical Science Academy ＆ Sichuan Provincial People＇s Hospital, Chengdu 610072, China)

机构地区：[1]四川省医学科学院.四川省人民医院,四川成都610072

出　　处：《实用医院临床杂志》2017年第2期93-96,共4页Practical Journal of Clinical Medicine

摘　　要：目的研究循证护理对老年冠状动脉粥样硬化性心脏病患者生活质量和心理状况的影响。方法选取我院收治的老年冠状动脉粥样硬化性心脏病合并高血脂患者86例,按照随机数字表法分成试验组和对照组各43例。对照组采用常规护理,观察组采取循证护理方法。比较两组患者的生活质量评分、心理状况评分、不良生活方式发生情况、遵医嘱行为以及护理满意度评分。结果护理后,两组患者的症状、情绪控制、体力限制、社会限制的评分以及焦虑自译量表、抑郁自译量表以及自尊量表评分均较治疗前明显改善;且试验组患者的生活质量评分优于对照组(P<0.05);饮酒、吸烟、高脂饮食、缺乏运动以及体质量超标情况的发生率较对照组少(P<0.05);患者按时锻炼率、合理饮食率、按时复诊率、按时服药率、护理服务内容、态度以及护理人员素质的评分均明显高于对照组(P<0.05)。结论对老年冠状动脉粥状硬化性心脏病患者应用循证护理能改善患者的生活质量和心理状况,有效提高患者遵医嘱性以及护理满意度。同时可减少患者饮酒、吸烟、体质量超标等情况。Objective To study the effect of evidence-based nursing on quality of life and mental status in elderly patients with coronary atherosclerotic heart disease .Methods Eighty-six elderly patients with coronary atherosclerotic heart disease who re-ceived therapy in our hospital were selected .According to the random number table ,the patients were divided into experimental group or control group ,43 in each group .The control group was treated with routine nursing methods while the experimental group was treated with evidence-based nursing methods .The quality of life score ,psychological status score ,adverse lifestyle ,medical behavior and nursing satisfaction score were compared between the two groups .Results After treatment,the symptoms,emotional control,physical restric-tion,social restriction,scores of SAS,SDS and SES in both groups were significantly improved when compared to before treatment .In ad-dition,the improvement of the scores in the experimental group was better than that in the control group （P〈0.05）.The incidence of alcohol consumption,smoking,high-fat diet,lack of exercise and excessive body weight in the experimental group was significantly lower than that in the control group （P 〈0.05）.The rate of on-time exercise,reasonable diet,timely referral rate and medication rate,and scores for nursing service contents ,attitudes and quality of the nurses in the experimental group were significantly higher than those in the control group （ P 〈0.05 ） .Conclusion The use of evidence-based nursing in elderly patients with coronary atherosclerotic heart disease can improve the quality of life and psychological status of the patients .It can effectively improve patient compliance and care satisfaction.At the same time,it can reduce the patients＇situation of drinking,smoking and body weight exceed .

关 键 词：循证护理 冠状动脉粥状硬化性心脏病 生活质量 心理状况 

分 类 号：R473.5[医药卫生—护理学]