循证护理配合经挠动脉径路介入治疗冠心病的临床效果研究

Effect of evidence-based clinical care and treatment of coronary heart disease through interventional transradial pathway

目的:探讨循证护理在行经桡动脉径路介入治疗冠心病患者的护理效果.方法:收集我院就诊的120例患者作为观察对象,随机分为观察组和对照组,每组60例.观察组采用循证护理方案,对照组采用常规护理方案,比较两组患者睡眠障碍、腰酸背痛、腹胀、尿潴留、迷走神经反射等的发生率.结果:观察组患者术后非血管并发症,如:尿潴留、腹胀、失眠的发生率低于对照组,差异有统计学意义(P<0.05).结论:循证护理干预可显著解决经桡动脉介入治疗冠心病患者的健康问题,临床护理人员可充分借助现有医疗护理成果,为护理方案选择提供依据,有利于将循证医学立论直接运用于临床决策.

AIM： To investigate nursing effect of evidence-based care of patients with coronary heart disease treated through inter- ventional transradial pathway. METHODS： A total of 120 cases in our hospital were selected and randomly divided into observa- tion group and control group with 60 cases in each group. Obser- vation group received evidence-based care, while control group were treated by conventional care regimen. The incidence of sleep disorders, back pain, abdominal distension, urinary retention and vagal reflex were compared. RESULTS： Postoperative non-cardi- ovascular complications like urinary retention, abdominal disten- sion, and sleep disorders in the observation group were lower than the control group, and the difference was statistically significant （ P 〈 0.05 ）. CONCLUSION ： Evidence-based nursing interven- tion can significantly solve the health problems of patients with coronary heart disease treated through transradial interventional pathway. Clinical nurses can make full use of the existing health care outcomes, provide the basis for the nursing program choice. The study can provide evidence for evidence-based care and is in favor of direct application of evidence-based medicine in clinical decision making.