循证护理在慢性心力衰竭患者中的应用效果观察

摘要

目的：观察循证护理在慢性心力衰竭患者中的应用效果。方法：选取2014年1月-2016年5月本院收治的65例慢性心力衰竭患者，采用随机数字法分为观察组（n=38）和对照组（n=27），两组患者均给予标准药物治疗，观察组采用循证护理，对照组采用常规心内科护理，比较两组总有效率、6 min步行距离、焦虑情绪改善率、SF-36量表评分。结果：观察组总有效率为76.32%（29/38），对照组总有效率为51.85%（14/27），观察组高于对照组，差异有统计学意义（P<0.05）；与治疗前相比，两组治疗后6 min步行距离均显著提高，差异均有统计学意义（P<0.05）；观察组治疗后6 min步行距离高于对照组，差异有统计学意义（P<0.05）；观察组焦虑情绪改善率为94.74%（36/38），对照组为70.37%（19/27），观察组改善率高于对照组，差异有统计学意义（P<0.05）；干预后观察组家庭角色、自理能力、精力、社会角色评分均高于对照组，差异均有统计学意义（P<0.05）。结论：循证护理将护理研究和护理实践结合起来，可显著改善患者的心功能，提高运动耐力，改善心理状态，提高生存质量，具有较高的实用价值和推广价值。%Objective:To observe the application effect of evidence-based nursing in patients with chronic heart failure.Method:A total of 65 cases of chronic heart failure treated in our hospital from January 2014 to May 2016 were selected.Using the random number method,they were divided into the observation group(n=38) and the control group(n=27).Two groups of patients were given standard drug treatment,the observation group was treated with evidence-based nursing,the control group was treated with routine cardiology nursing,We compared the total efficiency of two groups,6 min walking distance,the rate of anxiety improve,SF-36 score.Result:The total effective rate of the observation group was 76.32%(29/38),the control group was 51.85%(14/27),the observation group was higher than that of the control group,the difference was statistically significant(P<0.05). Compared with before treatment,two groups after treatment 6 min walking distance were significantly improved,the differences were statistically significant(P<0.05).The observation group after treatment 6 min walking distance was higher than that of the control group,the difference was statistically significant(P<0.05).The observation group after treatment 6 min walking distance was higher than that of the control group,the difference was statistically significant(P<0.05).In the observation group,the improvement rate was 94.74%(36/38),the control group was 70.37%(19/27),the improvement rate of the observation group was higher than that of the control group, the difference was statistically significant(P<0.05).The observation group family roles,self-care ability, energy,social role score were higher than those of the control group,the differences had statistical significance (P<0.05).Conclusion:The application of evidence-based nursing in the nursing research and nursing practice, can significantly improve the patient's heart function,the exercise tolerance in patients and the psychological status of patients,and the quality of life of patients and has a high practical value and popularization value.