循证护理在急诊冠状动脉介入手术中的应用

The application of evidence - based nursing in emergency percutaneous coronary intervention

目的:探讨循证护理在急诊冠状动脉介入手术中的应用。方法:确定78例接受急诊冠状动脉介入手术的患者需要解决的问题如胸痛、术中低血压和再灌注心律失常,通过查阅相关文献和资料寻找直接和间接的实证,归纳选择最佳护理证据,制定出最佳护理方案并实施。结果:循证护理组出现胸痛持续不缓解、术中低血压均少于对照组,2组比较差异具有统计学意义(P<0.05)。循证护理组出现再灌注心律失常较对照组有下降趋势,但未达统计学意义(P>0.05)。结论:运用循证护理理论指导临床护理可提高护理质量,帮助患者胸痛缓解,减少术中低血压发生。

[Objective]To investigate the application of evidence - based nursing in emergency percutaneous coronary intervention. [Method]78 cases of patients were chosen who accept emergency percutaneous coronary intervention with problem of chest pain,hypotension in the process and reperfusion arrhythmia.In view of these problems,relative papers and information were reviewed aiming at finding direct and indirect evidence and finding the best evidence for nursing practice.The treatment strategies were established and performed.[Result]Compared with control subjects,evidence - based nursing group have fewer patients of no- palliated chest pain and hypotension in the process.The difference between evidence - based nursing group and control group is statistical significance(P < 0.05).But no statistical significance(P > 0.05) have in the reperfusion arrhythmia between them.[Conclusion]Using the concept of evidence - based nursing to guide the clinic nursing care can improve the quality of nursing,help relieving chest pain and reduce the occurrence rate of hypotension.