循证护理对经桡动脉行PCI患者心理状态及血管并发症的影响

摘要

目的 探讨循证护理对经桡动脉经皮冠状动脉介入治疗(PCI)手术患者的心理状态及血管并发症的影响.方法 选取96例行经桡动脉PCI手术患者随机分为对照组和观察组各48例,对照组采用常规护理,观察组采用循证护理,对比2组术前、术后的PHQ-9、GAD-7评分以及术后血管并发症情况(包括局部血肿、皮下淤血、上肢静脉栓塞、血管闭塞、穿刺点渗血).结果 手术前24h,观察组PHQ-9和GAD-7评分低于对照组(P＜0.05);手术后24 h,2组PHQ-9、GAD-7评分相较于手术前24 h均降低(P＜0.05);观察组术后血管并发症发生率为6.3％,低于对照组的29.2％ (P ＜0.05).结论 对经桡动脉PCI术患者实施循证护理,不仅能缓解患者的抑郁和焦虑情绪,而且能降低术后血管并发症发生率,值得在临床推广应用.%Objective To analyze the influence of evidence-based nursing on psychological status and vascular complications in patients with radial artery puncture line PCI surgery.Methods A total of 96 radial artery puncture patients with PCI surgery were randomly divided into control group and observation group,the control group received conventional nursing care and observation group received evidence-based nursing care.The PHQ-9 and GAD-7 score before and after the operation were compared,and the incidences of vascular complications including local hematoma,subcutaneous ecchymosis,upper limb venous thrombosis,vascular occlusion and puncture sites with oozing blood were analyzed.Results After nursing,the PHQ-9 and GAD-7 scores at 24 h before operation in observation group were significantly lower than that in the control group (P ＜ 0.05).At 24 h after operation,the incidence of vascular complications in the observation group was 6.3 ％,which was lower than 29.2％ in control group (P ＜ 0.05).Conclusion Evidence-based nursing care can ease depression and anxiety in some extent,and reduce the incidence of postoperative vascular complications.Hence,it is worthy of further popularization and application in clinic.