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冠脉支架植入术后实施循证护理的效果分析

Efficacy analysis of evidence-based nursing after coronary stent implantation

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【作者】 商计华汤惠君柯艺婷

【Author】 SHANG Jihua;TANG Huijun;KE Yiting;Ward Ⅰ,Department of Internal Medicine-Cardiovascular, Zhangzhou Affiliated Hospital of Fujian Medical University;

【通讯作者】 柯艺婷;

【机构】 福建医科大学附属漳州市医院心血管内科一区

【摘要】 目的冠脉支架植入术后实施循证护理的效果分析。方法选取福建医科大学附属漳州市医院2019年5月至2020年5月行冠脉支架植入术患者120例,采用随机数字表法将患者分为两组,对照组给予常规护理,研究组给予循证护理。比较两组患者术后并发症总发生率、患者对护理服务满意度及术后生活质量、生活能力评分。结果研究组术后并发症总发生率为6.67%,低于对照组的23.33%,差异有统计学意义(χ2=5.294,P <0.05);研究组患者满意度评分为(95.28±0.82)分,高于对照组的(93.80±0.85)分,差异有统计学意义(t=9.707,P <0.05);研究组术后生活质量、生活能力评分为(82.20±3.20)分、(88.30±3.34)分,高于对照组的(75.40±3.38)分、(77.22±3.30)分,差异有统计学意义(t=11.316、18.279,P <0.05)。结论冠脉支架植入术后配合循证护理有利于促进患者病情改善,减少多种术后并发症的产生及影响,也有利于提高患者满意度、生活质量与生活能力,护理价值显著。

【Abstract】 Objective To analyze the efficacy of evidence-based nursing after coronary stent implantation. Methods A total of 120 patients who underwent coronary stent implantation admitted to Zhangzhou Affiliated Hospital of Fujian Medical University from May 2019 to May 2020 were selected and divided into the study group and the control group according to the random number table method. The control group was treated with conventional nursing, while the study group was treated with evidence-based nursing. The total incidence of postoperative complications, patients’ satisfaction with nursing services, postoperative quality of life(QoL) and activity of daily living(ADL) were compared between the two groups. Results The total incidence of postoperative complications in the study group was 6.67%, lower than 23.33% in the control group, with statistically significant difference(χ2=5.294, P < 0.05). The satisfaction score of patients in the study group was(95.28±0.82) points, higher than(93.80±0.85) points in the control group, with statistically significant difference(t=9.707,P < 0.05). The postoperative QoL score was(82.20±3.20) points and ADL score was(88.30±3.34) points in the study group, higher than(75.40±3.38) points and(77.22±3.30) points in the control group, with statistically significant differences(t=11.316,18.279, P < 0.05). Conclusion Evidence-based nursing after coronary stent implantation can promote the improvement of patients’ condition, reduce the occurrence and impacts of various postoperative complications, and improve patients’ satisfaction, QoL and ADL, with significant nursing value.

  • 【文献出处】 中国医药科学 ,China Medicine and Pharmacy , 编辑部邮箱 ,2021年04期
  • 【分类号】R473.5
  • 【下载频次】61
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