循证护理对老年冠状动脉粥样硬化性心脏病患者情绪生活质量及心血管事件的影响

Effect of evidence-based nursing on mood,quality of life,and incidence of cardiovascular events in elderly patients with coronary atherosclerotic heart disease

目的探循证护理对老年冠状动脉粥样硬化性心脏病患者情绪、生活质量及心血管事件发生率的影响.方法将114例老年老年冠状动脉粥样硬化性心脏病患者按随机数字表法分为两组,每组57例.两组均予以心电监护、吸氧、健康教育、心理干预等常规护理,观察组在此基础上联合循证护理,观察治疗全程.于治疗前后采用焦虑自评量表、抑郁自评量表、生活质量量表评定患者的焦虑、抑郁情绪及生活质量,统计两组治疗过程中的心血管事件发生情况.结果治疗后两组焦虑自评量表、抑郁自评量表评分均较治疗前显著降低(P<0.01),生活质量量表评分均较治疗前显著升高(P<0.01),观察组显著优于对照组(P<0.01).观察组心血管事件发生率为12.3%,对照组为35.1%,观察组显著低于对照组(P<0.01).结论循证护理能显著改善老年老年冠状动脉粥样硬化性心脏病患者的焦虑抑郁情绪,提高其生活质量,减少心血管事件的发生,优于常规护理.

Objective To analyze the effect of evidence-based nursing on mood,quality of life,and cardiovascular events in elderly patients with coronary atherosclerotic heart disease.Methods 114 elderly elderly patients with coronary atherosclerotic heart disease were divided into two groups according to the random number table method,with 57 patients in each group.The two groups were given routine nursing such as ECG monitoring,oxygen inhalation,health education,psychological intervention,etc.The observation group combined evidence-based nursing on this basis and observed the whole course of treatment.Before and after treatment,SAS,SDS,and SF-36 were used to assess the anxiety,depression,and quality of life of patients,and the incidence of cardiovascular events during the treatment of the two groups was counted.Results After treatment,the SAS and SDS scores of the two groups were significantly lower than those before treatment(P<0.01),and the quality of life scale scores were significantly higher than those before treatment(P<0.01).The observation group was significantly better than the control group(P<0.01).The incidence of cardiovascular events in the observation group was 12.3%,and the control group was 35.1%.The observation group was significantly lower than the control group(P<0.01).Conclusions The application of EBN nursing in elderly patients with coronary atherosclerotic heart disease can effectively improve their anxiety and depression,improve their quality of life,reduce the occurrence of cardiovascular events,and is superior to conventional nursing.