循证护理在扩张型心肌病患者中的应用效果

Application effects of evidence-based nursing on patients with dilated cardiomyopathy

目的:观察循证护理在扩张型心肌病患者中的应用效果。方法:选取2019年5月至2021年5月该院收治的88例扩张型心肌病患者进行前瞻性研究,依照随机数字表法将其分为对照组和观察组各44例。对照组采取常规护理,观察组采取循证护理,比较护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、服药依从性、运动耐量[6 min步行试验(6MWT)距离]、生命质量[简明健康调查量表(SF-36)]评分和护理满意度。结果:护理后,观察组HAMA、HAMD评分均低于对照组,6MWT距离大于对照组,差异有统计学意义(P<0.05);护理后,观察组服药依从性优于对照组,躯体功能、生理职能、精力、躯体疼痛、情感职能、社会功能、心理健康、总体健康等SF-36评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.45%(42/44),高于对照组的81.82%(36/44),差异有统计学意义(P<0.05)。结论:循证护理应用于扩张型心肌病患者可提高服药依从性、6MWT距离、SF-36评分和护理满意度,降低负性情绪评分,效果优于常规护理。

Objective:To observe application effects of evidence-based nursing on patients with dilated cardiomyopathy.Methods:A prospective study was performed on 88 patients with dilated cardiomyopathy admitted to this hospital from May 2019 to May 2021,and they were divided into control group and observation group according to the random number table method,44 cases in each group.The control group received routine nursing,while the observation group received evidence-based nursing.The negative emotion score[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],the medication compliance,the exercise tolerance[6-min walking test(6MWT)distance],the quality of life score[short form health survey(SF-36)]and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the HAMA and HAMD scores of the observation group were lower than those of the control group;the level of 6MWT distance was higher than that of the control group;and the differences were statistically significant(P<0.05).After the nursing,the medication compliance of the observation group was better than that of the control group;the SF-36 scores of physical function,physiological function,vitality,physical pain,emotional function,social function,mental health,and overall health were all higher than those of the control group;and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.45%(42/44),which was higher than the control group of 81.82%(36/44),and the difference was statistically significant(P<0.05).Conclusions:The evidence-based nursing for the patients with dilated cardiomyopathy can improve the medication compliance,the 6MWT distance level,the SF-36 score and the nursing satisfaction,and reduce the negative emotions.Moreover,it is superior to the routine nursing.