基于循证医学指导的健康教育对扩张型心肌病合并心力衰竭患者自我护理能力的影响

Effect of health education based on evidence-based medicine guidancec on self-care agency of dilated cardiomyopathy patients with heart failure

目的探讨基于循证医学指导的健康教育对扩张型心肌病(DCM)合并心力衰竭(HF)患者自我护理能力的影响。方法将我院收治的62例DCM合并HF患者随机分为观察组(n=31,基于循证医学指导的健康教育)与对照组(n=31,常规健康教育),比较两组护理效果。结果出院时、出院后1、6个月,观察组的自护能力得分高于对照组(P<0.05)。观察组非计划再入院率低于对照组(P<0.05)。出院后1个月,两组的生活质量各项评分均降低,且观察组低于对照组(P<0.05)。结论基于循证医学指导的健康教育可以提高DCM合并HF患者自护能力,改善其生活质量,降低非计划再入院率。

Objective To explore the effect of health education based on evidence-based medicine guidance on selfcare agency of dilated cardiomyopathy(DCM) patients with heart failure(HF).Methods Sixty-two patients with DCM and HF admitted in our hospital were randomly divided into observation group(n=31,health education based on evidence-based medicine guidance) and control group(n=31,regular health education).The nursing effects of the two groups were compared.Results At the time of discharge,1 and 6 months after discharge,the scores of self-care ability in the observation group were higher than those in the control group(P<0.05).The rate of unplanned readmission in the observation group was lower than that in the control group(P<0.05).One month after discharge,the quality of life scores of the two groups reduced,and those in the observation group were lower than the control group(P<0.05).Conclusion Health education based on evidence-based medicine guidance can improve the self-care agency of DCM patients with HF,improve quality of life,and reduce the rate of unplanned readmission.