CAJ | 학술논문

目的：探讨循证护理在急性心肌梗死患者中的应用效果。方法：将50例急性心肌梗死患者随机分为观察组和对照组各25例。对照组实施常规护理，观察组给予循证护理。观察2组护理前后心理健康（Zung焦虑自评量表-SAS和Zung抑郁自评量表-SDS）和生活质量（采用SF-36量表评定情感指数、健康指数和生活满意度）变化。结果：护理后SAS、SDS评分观察组分别为(36.92±5.24)分、(41.72±4.13)分，对照组分别为(41.54±3.73)分、(45.63±4.59)分，观察组均明显低于对照组（P＜0.05）。护理后情感指数、健康指数和生活满意度观察组分别为(8.56±1.89)分、(10.64±3.71)分、(9.88±2.11)分，对照组分别为(7.17±1.66)分、(8.25±2.03)分、(8.33±1.66)分，观察组均高于对照组（P＜0.05）。结论：循证护理能明显改善急性心肌梗死患者的焦虑、抑郁状态，提高生活质量。
목적：탐토순증호리재급성심기경사환자중적응용효과。방법：장50례급성심기경사환자수궤분위관찰조화대조조각25례。대조조실시상규호리，관찰조급여순증호리。관찰2조호리전후심리건강（Zung초필자평량표-SAS화Zung억욱자평량표-SDS）화생활질량（채용SF-36량표평정정감지수、건강지수화생활만의도）변화。결과：호리후SAS、SDS평분관찰조분별위(36.92±5.24)분、(41.72±4.13)분，대조조분별위(41.54±3.73)분、(45.63±4.59)분，관찰조균명현저우대조조（P＜0.05）。호리후정감지수、건강지수화생활만의도관찰조분별위(8.56±1.89)분、(10.64±3.71)분、(9.88±2.11)분，대조조분별위(7.17±1.66)분、(8.25±2.03)분、(8.33±1.66)분，관찰조균고우대조조（P＜0.05）。결론：순증호리능명현개선급성심기경사환자적초필、억욱상태，제고생활질량。
Objective:To discuss the application of evidence-based nursing for acute myocardial infarction (A-MI) patients. Methods:The 50 AMI patients were randomize into 25 cases of observation and control groups. The cases in the observation group were implemented the conventional nursing while the control group given evi-dence-based nursing. The psychological health (assessed by SAS and SDS) and life quality (valued the emotional and healthy indexes as well as life satisfaction of the patients by SF-36) of both groups before and after nursing were observed. Results:After nursing, the SAS and SDS scores in the observation group were (36.92 ±5.24) and (41.72 ± 4.13) respectively, while those in the control group were (41.54 ±3.73) and (45.63 ±4.59), and the SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The emotional and healthy indexes as well as life satisfaction of the patients in the observation group were (8.56±1.89), (10.64± 3.71) and (9.88±2.11) respectively, while those in the control group were (7.17±1.66), (8.25±2.03) and (8.33±1.66) lower than those in the observation group (P<0.05). Conclusion:The evidence-based nursing for AMI patients can notably reduce their anxieties as well as depressions and meliorate their life qualities.