摘要
目的:研究循证护理在不稳定型心绞痛(UA)患者急救护理中的应用效果及患者满意度。方法:选择2018年3月-2019年3月于中国人民解放军联勤保障部队第九〇八医院鹰潭医疗区诊断UA患者共124例,随机分为对照组和观察组,各62例。对照组采用常规心脏专科护理,观察组采用循证护理,主要包括病情定量评分、分层管理、口服药物和静脉输液、止痛和体位管理、心理疏导、围术期管理及出院随访共7个内容。比较两组护理效果和满意度。结果:观察组入院72 h心绞痛发作频率少于对照组,持续时间短于对照组,平均住院时间短于对照组,差异均有统计学意义(P<0.05);观察组入院72 h后疼痛VAS评分、SAS评分、PSQI评分均低于对照组(P<0.05);出院时,观察组护理质量评分、满意度均高于对照组(P<0.05)。结论:循证护理对UA患者的急救效果满意,值得推广应用。
Objective:To study the effect of evidence-based nursing (EBN) for unstable angina (UA) patients and nursing satisfaction.Method:A total of 124 patients with UA diagnosed in Yingtan Medical District,908 Hospital of Joint Logistics Support Force of PLA from March 2018 to March 2019 were selected and randomly divided into the control group and the observation group,with 62 cases in each group.The control group was treated with routine cardiac specialist nursing,and the observation group was treated with evidence-based nursing,mainly including quantitative disease score,hierarchical management,oral drugs and intravenous infusion,pain relief and posture management,psychological counseling,perioperative management and discharge follow-up.The nursing effect and satisfaction were compared between the two groups.Result:The frequency of angina pectoris attack in the observation group was less than that in the control group 72 hours after admission,the duration was shorter than that in the control group,and the average hospital stay was shorter than that in the control group,the differences were all significant (P<0.05).The pain VAS score,SAS score and PSQI score of the observation group 72 hours after admission were lower than those of the control group (P<0.05).At discharge,the score of nursing quality and the satisfaction in the observation group were higher than those in the control group (P<0.05).Conclusion:Evidence-based nursing is satisfactory for first aid effect on patients with UA,which is worthy of popularization and application.
作者
陈美梅
陈海红
宋春红
潘开菊
胡菊清
余丽芳
叶秋梅
曹小红
CHEN Meimei;CHEN Haihong;SONG Chunhong;PAN Kaiju;HU Juqing;YU Lifang;YE Qiumei;CAO Xiaohong(Yingtan Medical District,908 Hospital of Joint Logistics Support Force of PLA,Yingtan 335000,China;不详)
出处
《中国医学创新》
CAS
2022年第26期112-115,共4页
Medical Innovation of China
基金
鹰潭市科技计划项目(YKZ2020052)。
关键词
循证护理
不稳定型心绞痛
急救护理
Evidence-based nursing
Unstable angina
First aid nursing
