CAJ | 학술논문

目的探讨循证护理对冠心病PCI术患者医嘱依从性及生存质量的影响.方法选择2010年1～9月收治的冠心病PCI术患者86例,随机将患者分为研究组和对照组各43例.2组患者经相关检查后均行PCI术治疗和常规护理,而研究组患者则在此基础上给予全面系统的循证护理干预方案,并对2组患者的医嘱依从性及生存质量等相关临床指标进行比较分析.结果与对照组患者相比,研究组患者医嘱完全依从的比率显著增高,而部分依从的比率则显著降低;与此同时,研究组患者在神经功能、心理功能、社会功能、物质生活等方面的评分值明显提高.结论循证护理对冠心病PCI术患者医嘱依从性及生存质量方面具有十分重要的临床辅助治疗意义,值得临床进一步的推广和应用.
목적 탐토순증호리대관심병PCI술환자의촉의종성급생존질량적영향.방법 선택2010년1～9월수치적관심병PCI술환자86례,수궤장환자분위연구조화대조조각43례.2조환자경상관검사후균행PCI술치료화상규호리,이연구조환자칙재차기출상급여전면계통적순증호리간예방안,병대2조환자적의촉의종성급생존질량등상관림상지표진행비교분석.결과 여대조조환자상비,연구조환자의촉완전의종적비솔현저증고,이부분의종적비솔칙현저강저;여차동시,연구조환자재신경공능、심리공능、사회공능、물질생활등방면적평분치명현제고.결론 순증호리대관심병PCI술환자의촉의종성급생존질량방면구유십분중요적림상보조치료의의,치득림상진일보적추엄화응용.
Objective To discuss influence of evidence-based nursing on compliance and quality of life of patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods From January to September, 2010, 86 patients with coronary heart disease undergoing percutaneous coronary intervention therapy were randomly divided into the study group and the control group with 43 patients in each group. Two groups of patients underwent percutaneous coronary intervention therapy and routine care after related check-up, and the study group was given comprehensive and systemic evidence-based nursing intervention on the basis of routine care. Medical compliance and life quality and other clinical indicators of the two groups of patients were comparatively analyzed. Results Compared with the control group, fully compliance rate of the study group was significantly higher, and partical compliance rate decreased significantly. At the same time, score of neurological function, psychological function, social function and other aspects of material life were significantly increased in the study group. Conclusions Application of evidence- based nursing has significant meaning for improving compliance and life quality of coronary heart disease patients undergoing percutaneous coronary intervention, which is worthy of further clinical promotion and application.