循证护理在高龄冠心病患者OPCABG围手术期护理中的应用价值  

The value of evidence-based nursing in the perioperative care of elderly patients with coronary artery disease undergoing OPCABG

作　　者：黄舒丽 刘哲[1] 赵双纱 Huang Shuli;Liu Zhe;Zhao Shuangsha(Zhengzhou Seventh People's Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市第七人民医院,郑州450000

出　　处：《保健医学研究与实践》2022年第4期67-69,81,共4页Health Medicine Research and Practice

摘　　要：目的探讨循证护理在高龄冠心病患者非体外循环冠状动脉搭桥术(OPCABG)围手术期护理中的应用价值。方法选取2019年6月—2021年6月郑州市某医院收治的88例高龄冠心病OPCABG手术患者为研究对象。采用随机数字表法将患者分为对照组和观察组,每组44例。对照组患者接受常规护理;观察组患者接受循证护理。比较2组患者出院时并发症发生情况;比较2组患者干预前及出院时冠心病自我管理量表(CSMS)评分;比较2组患者住院时间。结果观察组患者并发症总发生率为4.54%,低于对照组的25.01%,差异有统计学意义(P<0.05)。观察组患者住院时间短于对照组,差异有统计学意义(P<0.05)。干预前,2组患者CSMS评分比较,差异无统计学意义(P>0.05);干预后,2组患者CSMS评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论循证护理在高龄冠心病患者OPCABG围手术期护理中的应用效果显著,能降低患者的并发症发生率,缩短住院时间,提高患者自我管理能力,值得推广应用。Objective To explore the value of applying evidence-based nursing in the perioperative care of elderly patients with coronary artery disease undergoing OPCABG.Methods Eighty-eight patients admitted to a hospi-tal in Zhengzhou from June 2019 to June 2021 undergoing OPCABG surgery for advanced coronary artery disease were selected for the study.The random number table method was used to divide the patients into a control group and an observation group,with 44 cases in each group.Patients in the control group received conventional care;patients in the observation group received evidence-based nursing care.The complications at discharge were com-pared between the two groups;the Coronary Artery Disease Self-Management Scale(CSMS)scores before inter-vention and at discharge were compared between the two groups;the length of hospital stay was compared be-tween the two groups.Results The overall complication rate of patients in the observation group was 4.54%,which was lower than that of 25.01%in the control group,and the difference was statistically significant(P<0.05).The length of hospital stay of patients in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no statistically sig-nificant difference between the CSMS scores of patients in the 2 groups(P>0.05);after the intervention,the CSMS scores of patients in the 2 groups were higher than before the intervention,and the observation group had higher scores than the control group,with statistically significant differences(P<0.05).Conclusion Applying evidence-based nursing in the perioperative care of elderly patients with coronary artery disease undergoing OPCABG shows significant effects.It can reduce the complication rate of patients,shorten the hospital stay and improve the self-management ability of patients,and is worth promoting the application.

关 键 词：冠心病 OPCABG围手术期 循证护理 

分 类 号：R54[医药卫生—心血管疾病]