摘要
目的分析冠心病心绞痛患者疾病发作表现、护理需求,评价循证护理干预对患者的积极影响。方法选择我院2019年10月至2020年5月期间收治的120例冠心病心绞痛疾病患者,在常规内科药物对症支持治疗的基础上,按照入院先后顺序分组(对照组、观察组)。对照组(n=60)患者采取心内科常规护理,观察组(n=60)患者采取循证护理干预。研究获得伦理委员会审核批准。结果组间护理满意度问卷调查情况以及治疗遵医行为表现情况比较:观察组冠心病心绞痛患者的护理满意度、治疗依从率均高于对照组,P<0.05。组间心绞痛发作情况比较:观察组患者的急性发作次数、发作时间均少于对照组,P<0.05。组间情绪状况与生命质量采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、生命质量测定量表(Quality of Life,QOL)评估。两组护理后上述指标比较护理前均有改善。而且,与对照组比较,观察组患者的改善幅度更大,P<0.05。结论循证护理辅助内科治疗满足冠心病心绞痛患者的需求,可以提升患者的治疗依从性、护理满意度,促进患者康复与身心状况改善。
Objective To analyze the symptoms and nursing needs of patients with coronary heart disease and angina pectoris,and to evaluate the positive impact of evidence-based nursing intervention on patients.Methods Select 120 patients with coronary heart disease and angina pectoris admitted to our hospital from October 2019 to May 2020.On the basis of symptomatic and supportive treatment with conventional medical drugs,they were grouped according to the order of admission(control group,observation group).Patients in the control group(n=60)received routine cardiology care,and patients in the observation group(n=60)received evidence-based nursing intervention,which was reviewed and approved by the ethics committee.Results Comparison of nursing satisfaction questionnaire survey and treatment compliance behavior between groups:the nursing satisfaction and treatment compliance rate of patients with coronary heart disease and angina pectoris in the observation group were higher than those in the control group,P<0.05.Comparison of angina pectoris between groups:the number of acute attacks and the duration of attacks in the observation group were less than those in the control group,P<0.05.The emotional state and quality of life between the groups were based on the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)and Quality of Life(QOL)assessments showed improvement after nursing compared with before nursing.Compared with the control group,the observation group had a greater improvement,P<0.05.Conclusion Evidence-based nursing assisted medical treatment to meet the needs of patients with coronary heart disease and angina pectoris can improve patients'treatment compliance,nursing satisfaction,and promote patients'recovery and physical and mental conditions.
作者
荆润香
JING Runxiang(Internal Medicine-Cardiovascular Department,Dandong Central Hospital,Dandong 118002,China)
出处
《中国医药指南》
2023年第9期138-140,共3页
Guide of China Medicine
基金
国家科技成果:CNST20206605219
项目名称:心内科护理的方法探究。
关键词
循证护理
冠心病心绞痛
治疗依从性
护理满意度
病情状况
生命质量
Evidence-based nursing
Coronary heart disease angina pectoris
Treatment compliance
Nursing satisfaction
Emotion
Quality of life