循证护理在老年单纯高脂血症病人中的应用

Application of evidence-based nursing for senile patients with simple hyperlipidemia

[目的]探讨循证护理在老年单纯高脂血症病人中的应用效果,为护理干预模式提供依据。[方法]将120例高脂血症病人随机分为循证组(60例)和对照组(60例)。对照组给予常规护理方法,循证组从病人健康教育、依从性、改变生活方式等方面循证,得到最佳证据指导临床护理。比较两组血脂下降率、健康知识知晓率、依从性、生活方式的改变各方面的情况。[结果]循证组血脂下降率、健康知识知晓率、依从性、生活方式的改变方面均优于对照组,差异具有统计学意义(P<0.05或P<0.01)。[结论]循证护理能有效提高老年单纯高脂血症病人血脂控制率和依从性,有效改善生活方式,增强自我监控能力。

Objective：To probe into the effect of applying evidencedbase nursing for senile patients with simple hyperlipidemia, so as to provide some bases for nursing intervention model. Methods： A total of 120 hyperlipidemia patients were randomly divided into evidence - based group （60 cases） and control group （60 cases）. Patients of control group were given routine nursing care. Patients of evidence - based group accepted evidence - based nursing from aspects of health education, compliance, altering unhealthy life style so as to gain the best evidences to guide in clinic. The lowering rate of blood fat,awareness rate of health knowledge, compliance rate and altering of life style of the two group patients were compared. Results： All indexes mentioned above in patients of evidence - based group were significantly better than that of control group cases （P〈0.05 or P〈0.01）. Conclusion; Application of evidence-based nursing can effectively enhance blood fat control rate and compliance of senile patients with simple hyperlipidemia. It could improve the life style effectively and strengthen self- monitoring ability of patients.