循证护理对冠心病经皮冠状动脉介入术患者医嘱依从性及生存质量的影响

Influence of evidence-based nursing on compliance and quality of life of patients with coronaryheart disease undergoing percutaneous coronary intervention

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。

Objective To discuss influence of evidence-based nursing on compliance and quality of lifeof patients with coronary heart disease after percutaneous coronary intervention （PCI）. Methods From January to September, 2010, 86 patients with coronary heart disease undergoing pereutaneous 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 paxtical 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. Conduaiolls Application of evidence- based nursing has significant meaning for improving compliance and life quality of coronary heart disease patients undergoing peroutaneous coronary intervention, which is worthy of further clinical promotion and application.