循证护理对老年冠心病患者生活方式及负性情感的影响

摘要

Objective:To explore influence of evidence -based nursing mode on lifestyle and negative emotion in aged pa‐tients with coronary heart disease (CHD) .Methods:A total of 88 CHD patients treated in our department of cardiology were selected .According to random number table ,they were randomly and equally divided into routine nursing group and evidence-based nursing group (received evidence -based nursing based on routine nursing ) . Unhealthy lifestyle status , negative emotion score ,nursing satisfaction and incidence rate of adverse events were recorded and compared between two groups before and four weeks after intervention .Results:Compared with routine nursing group after intervention ,there were significant reductions in percentages of smoking (40.9% vs .22.7% ) ,drinking (54.5% vs .38.6% ) ,high fat diet (43.2% vs .29.5% ) ,physical inactivity (45.5% vs .25.0% ) and overweight or obesity (52.3% vs .29.5% ) in evidence‐based nursing group , P<0.05 all;compared with before intervention ,there were significant reductions in scores of self -rating anxiety scale (SAS) and self-rating depression scale (SDS) in both groups after intervention(P<0.05 or <0.01) , and compared with routine nursing group ,scores of SAS and SDS significantly reduced in evidence -based nursing group , P<0.05 all .Compared with routine nursing group ,there was significant rise in nursing satisfaction (86.4% vs .97.7% ) and significant reduction in incidence rate of adverse events (25.0% vs .11.4% ) in evidence -based nursing group , P<0.05 all .Conclusion:Evidence-based nursing can effectively reduce unhealthy lifestyle and remit the negative emotional state in aged CHD patients ,which is worth extending in clinic .%目的：探讨循证护理模式对老年冠心病患者生活方式及负性情感的影响。方法：选择我院心内科收治的88例冠心病患者，按随机数字表法被分为常规护理组和循证护理组（在常规护理基础上开展循证护理），每组各44例。记录两组患者在干预前及干预后第4周末的不良生活方式情况、负性情感评分状况、护理满意度情况及不良事件发生率，并做比较。结果：干预后，与常规护理组比较，循证护理组患者吸烟（40.9％比22.7％）、饮酒（54.5％比38.6％）、高脂饮食（43.2％比29.5％）、缺乏运动（45.5％比25.0％）及体质量超标（52.3％比29.5％）比例均明显降低（P均＜0.05）；两组焦虑自评量表（SAS）和抑郁自评量表（SDS）评分均较干预前明显降低（P＜0.05或＜0.01），且与常规护理组比较，循证护理组SAS和SDS评分降低均更显著（ P均＜0.05）。与常规护理组比较，循证护理组护理满意度明显升高（86.4％比97.7％），不良事件发生率明显降低（25.0％比11.4％）， P＜0.05。结论：循证护理模式能减少老年冠心病患者不良生活方式，缓解其消极情感状况，值得在临床上推广。