目的 探讨循证护理在预防冠心病患者冠状动脉介入术(PCI)后血管并发症中的作用及其对患者生存质量的影响.方法 将行PCI治疗的126例冠心病患者随机分入对照组与观察组,给予60例对照组患者常规护理措施,66例观察组患者接受循证护理干预.采用SF-36生存质量量表评估患者生存质量,比较两组患者术后血管并发症发生率、不良反应发生率及干预后生存质量的差别.结果 观察组与对照组患者术后血管并发症发生率分别为4.5％和16.7％,差异具有统计学意义(P＜0.05)；观察组术后不良反应发生率显著少于对照组(P＜0.05)；观察组干预后3个月、6个月及12个月SF-36生存质量评分均显著优于对照组(P＜0.05).结论 循证护理可显著减少冠心病行PCI术患者术后血管并发症发生率,提高患者生存质量.%Objective To explore the effect of evidence-based nursing on vascular complications and life quality in patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). Methods One hundred and twenty-six patients with coronary heart disease undergoing PCI were randomly divided into the control group and the study group. Patients in the control group (n=60) were given routine nursing care, while those in the study group (n=66) received evidence-based nursing. SF-36 scale was used to evaluate the life quality of the patietns. The incidence of vascular complications, adverse reactions and life quality were compared between the two groups. Results The incidence of vascular complications after operation was 4.5% in the study and 16.7% in the control group, with statistically significant difference between the two groups (P<0.05). The incidence of adverse reactions in the study group was significantly lower that in the control group (P<0.05). SF-36 scores 3,6 and 12 months after intervention in the study group were superior to the control group (P<0.05). Conclusion Evidence-based nursing for the patients with coronary heart disease undergoing PCI can greatly decrease vascular complications and improve life quality.
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