基于循证理论的临床护理路径结合罗森塔尔效应干预模式对经皮冠状动脉介入治疗后患者自我感受负担及心理状态的影响

Effects of clinical nursing pathway based on evidence-based theory combined with Rosenthal effect intervention model on self-perceived burden and psychological state of patients after percutaneous coronary intervention

目的探究基于循证理论的临床护理路径结合罗森塔尔效应干预模式对经皮冠状动脉介入(PCI)治疗后患者自我感受负担及心理状态的影响。方法择取2019年5月至2021年4月于我院行PCI治疗的86例患者,根据护理方案分为对照组(43例,常规护理)和观察组(43例,常规护理+基于循证理论的临床护理路径结合罗森塔尔效应干预模式)。比较两组的干预效果。结果干预后,观察组的自我感受负担量表(SPBS)各维度评分均低于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05)。干预后,观察组的左室舒张末内径(LVDd)、左室收缩末内径(LVDs)短于对照组,左心射血分数(LVEF)高于对照组(P<0.05)。结论基于循证理论的临床护理路径结合罗森塔尔效应干预模式应用于PCI治疗后的护理中,可改善患者的自我感受负担及心理状态,促进心功能恢复,值得推广。

Objective To explore the effects of clinical nursing pathway based on evidence-based theory combined with Rosenthal effect intervention model on self-perceived burden and psychological state of patients after percutaneous coronary intervention(PCI).Methods A total of 86 patients who underwent PCI in our hospital from May 2019 to April 2021 were selected and divided into control group(43 cases,routine nursing)and observation group(43 cases,routine nursing+clinical nursing pathway based on evidence-based theory combined with Rosenthal effect intervention model)according to the nursing plan.The intervention effects of the two groups were compared.Results After intervention,the scores of all dimensions of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group(P<0.05).After intervention,left ventricular end diastolic diameter(LVDd),left ventricular end systolic diameter(LVDs)in the observation group were shorter than those in the control group,and left ventricular ejection fraction(LVEF)was higher than that in the control group(P<0.05).Conclusion The clinical nursing pathway based on evidence-based theory combined with Rosenthal effect intervention model applied in nursing after PCI treatment can improve patients'self-perceived burden and psychological state,promote the recovery of cardiac function,which is worthy of promotion.