摘要
目的研究循证护理对急性心肌梗死患者行PCI术后心理及生存质量的影响。方法将急性心肌梗死行PCI术的患者根据护理方式分为循证护理组(循证组)和常规护理组(对照组),比较两组患者的护理效果、心理和生存质量。结果循证组的住院时间显著短于对照组,并发症发生率显著低于对照组,满意率显著高于对照组(P<0.05),两组的死亡率比较差异无统计学意义(P>0.05);两组护理前的焦虑、抑郁和恐惧评分差异无统计学意义(P>0.05);两组患者护理后的焦虑、抑郁和恐惧评分均显著降低,循证组患者护理后的焦虑、抑郁和恐惧评分显著低于对照组(P<0.05);循证组患者护理后的生存质量评分显著高于对照组(P<0.05)。结论循证护理可改善急性心肌梗死患者行PCI术后的心理状况和生存质量,提高护理效果。
Objective To explore the influence of evidence-based nursing on psychology and quality of life in patients with acute myocardial infarction after PCI surgery. Methods According to nursing mode in patients with acute myocar- dial infarction after PCI surgery,they were divided into the evidence-based nursing group （the evidence-based group） and the routine nursing group （the control group）.The nursing effect and psychology and quality of life in both groups were compared. Results The hospital stay in the evidence-based group was obviously shorter than that in the control group,incidence rate of complication in the evidence-based group was remarkably lower than that in the control group, the satisfaction rate in the evidence-based group was obviously higher than that in the control group （P〈0.05）,there was no statistical difference of the mortality rate in the two groups （P〉0.05）.Score of anxiety,depression and fear before nurs- ing in both groups didn＇t display statistical difference （P〉0.05）,after nursing,the score of anxiety,depression and fear de- creased in both groups,and even more remarkably in the evidence-based group （P〈0.05）;the quality of life score in the evidence-based group after nursing was higher than that in the control group （P〈0.05）. Condusion Evidence-based nursing can improve psychologic status and quality of life in patients with acute myocardial infarction after PCI surg- eriy,and improve nursing effect.
出处
《中国当代医药》
2014年第12期124-126,共3页
China Modern Medicine
关键词
急性心肌梗死
PCI
循证护理
心理
生存质量
Acute myocardial infarction
Percutaneous coronary intervention
Evidence-based nursing
Psychology
Qual-ity of life
