循证护理对老年冠心病心绞痛患者心理状态与康复效果的影响

Effect of Evidence-based Nursing on Mental State and Rehabilitation Effect of Elderly Patients with Coronary Heart Disease and Angina Pectoris

目的:探讨循证护理对老年冠心病心绞痛患者心理状态与康复效果的影响。方法:选取2018年1月-2019年1月本院收治的74例老年冠心病心绞痛患者为研究对象,应用随机数字表法将其分为观察组和对照组,每组37例。对照组采用常规护理,观察组实施循证护理。比较两组康复效果、心理状态、护理满意度、依从性、生活质量、心绞痛指标。结果:观察组治疗总有效率为94.59%,高于对照组的78.34%,差异有统计学意义(P<0.05)。观察组依从率为97.30%,高于对照组的75.68%,差异有统计学意义(P<0.05)。观察组疾病认知程度、治疗满意度、心绞痛发作情况、躯体活动受限程度、心绞痛稳定状态、心理功能、躯体功能、社会功能、物质功能评分均高于对照组,差异均有统计学意义(P<0.05)。护理后,观察组SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论:循证护理可有效改善老年冠心病心绞痛患者的心理状态,提升依从性,显著提升康复效果,值得应用。

Objective:To explore the effect of evidence-based nursing on mental state and rehabilitation of elderly patients with coronary heart disease and angina pectoris.Method:Seventy-four elderly patients with coronary heart disease and angina pectoris admitted to our hospital from January 2018 to January 2019 were selected as study subjects.They were divided into observation group and control group by random number table method,37 cases in each group.The control group received routine nursing,while the observation group received evidence-based nursing.The rehabilitation effect,mental state,nursing satisfaction,compliance,quality of life and angina index were compared between the two groups.Result:The total effective rate of treatment in the observation group was 94.59%,higher than 78.34%of the control group,the difference was statistically significant(P<0.05).The compliance rate of the observation group was 97.30%,higher than 75.68%of the control group,the difference was statistically significant(P<0.05).The scores of disease cognition,treatment satisfaction,angina attack,limited physical activity,stable state of angina,mental function,physical function,social function and material function in the observation group were all higher than those in the control group,with statistically significant differences(P<0.05).After nursing,SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Evidence-based nursing can effectively improve the mental state of elderly patients with coronary heart disease and angina pectoris,enhance compliance,significantly improve the rehabilitation effect,which is worthy of application.