循证护理在急性心力衰竭患者中的应用效果

Application effects of evidence-based nursing in patients with acute heart failure

目的:观察循证护理在急性心力衰竭患者中的应用效果。方法:选取2019年1—12月该院采用常规护理的45例急性心力衰竭患者作为对照组,2020年1—12月该院采用循证护理的45例急性心力衰竭患者作为观察组进行回顾性分析。比较两组护理前后心功能指标[左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)、每博心输出量(SV)]水平、美国纽约心脏病协会(NYHA)心功能分级、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分及并发症发生率。结果:护理后,两组LVEF、SV水平均高于护理前,且观察组高于对照组,两组LVESD水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组NYHA心功能分级均优于护理前,且观察组优于对照组,差异有统计学意义(P<0.05);两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.22%,低于对照组的17.78%,差异有统计学意义(P<0.05)。结论:循证护理应用于急性心力衰竭患者,可改善心功能指标水平,提高NYHA心功能分级,降低负性情绪评分和并发症发生率,效果优于常规护理。

Objective:To observe application effects of evidence-based nursing in patients with acute heart failure.Methods:The clinical data of 45 patients with acute heart failure who received routine nursing in the hospital from January to December 2019 were retrospectively analyzed,and they were set as control group.The clinical data of 45 patients with acute heart failure who received the evidence-based nursing in this hospital from January to December 2020 were retrospectively analyzed,and they were chosen as observation group.The levels of cardiac function indexes[left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD),stroke volume(SV)],the New York heart association(NYHA)heart function classification,the scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],and the incidence of complications were compared between the two groups before and after the nursing.Results:After the nursing,the levels of LVEF and SV in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;the levels of LVESD in the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).The NYHA heart function classification of the two groups was better than that before the nursing,that in the observation group was better than that in the control group,and the differences were statistically significant(P<0.05).The HAMA and HAMD scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse reactions of the observation group was 2.22%,which was lower than 17.78%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The evidence-based nursing in the patients with acute heart failure can improve the level of cardiac function indexes,improve the NYHA heart function classification,and reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to the routine nursing.