基于循证护理的术前访视干预在心脏介入手术患者中的应用效果  

Application Effect of Evidence-Based Nursing Based Preoperative Visit Intervention in Patients Undergoing Cardiac Interventional Surgery

作　　者：陈香 Chen Xiang(Department of Cardiology,The Nuclear Industry 417 Hospital in Lintong District of Xi'an City,Xi'an 710600,Shaanxi Province,China)

机构地区：[1]西安市临潼区核工四一七医院心内科,陕西西安710600

出　　处：《中国社区医师》2025年第7期141-143,共3页Chinese Community Doctors

摘　　要：目的:探讨基于循证护理的术前访视干预在心脏介入手术患者中的应用效果。方法:选取2023年5月—2024年5月于西安市临潼区核工四一七医院行经皮冠状动脉介入术的170例患者作为研究对象,按照随机数字表法分为对照组和观察组,每组85例。对照组给予常规护理,观察组在对照组基础上给予基于循证护理的术前访视干预。对比两组干预效果。结果:术后1 d,两组促肾上腺皮质激素、皮质醇水平均升高,但观察组低于对照组(P<0.05)。干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且观察组低于对照组(P<0.05)。观察组手术不良事件总发生率低于对照组(P=0.009)。结论:基于循证护理的术前访视干预在心脏介入手术患者中的应用效果较好,可减轻患者的应激反应,缓解其负面情绪,降低手术不良事件发生率。Objective:To explore the application effect of preoperative visit intervention based on evidence-based nursing in patients undergoing cardiac interventional surgery.Methods:A total of 170 patients who underwent percutaneous coronary interventional in the Nuclear Industry 417 Hospital in Lintong District of Xi'an City of Shaanxi Province from May 2023 to May 2024 were selected as the study subjects.They were divided into the control group and the observation group according to the random number table method,with 85 cases in each group.The control group received routine nursing and the observation group received preoperative visit intervention based on evidence-based nursing on the basis of control group.The effect of intervention was compared between the two groups.Results:On 1 d after surgery,the levels of adrenocorticotropic hormone and cortisol in the two groups increased,but the levels in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of self-rating anxiety scale and self-rating depression scale in the two groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group(P<0.05).The total incidence of surgery adverse events in the observation group was lower than that in the control group(P=0.009).Conclusion:The preoperative visit intervention based on evidence-based nursing has a good application effect in patients undergoing cardiac interventional surgery,and can relieve the stress response of patients,relieve their negative emotions,and reduce the incidence of surgery adverse events.

关 键 词：循证护理 术前访视 心脏介入手术 应激反应 负面情绪 

分 类 号：R473[医药卫生—护理学]