循证护理对冠心病PCI术后患者血管并发症及生存质量的影响.PDFVIP

海南医学2013 年2 月第24 卷第4 期 doi:10.3969/j.issn.1003-6350.2013.04.0266 ·护 理· 循证护理对冠心病PCI 术后患者血管并发症及生存质量的影响 黄金莲 （安康市中心医院介入中心，陕西 安康 725000 ） 【摘要】 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(P0.05) ；观察组术后不良反应发生率显著少于对照组 （P0.05 ）；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(P0.05) 。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。 【关键词】 冠心病；冠状动脉介入治疗；循证护理；血管并发症；生存质量 【中图分类号】R41.4 【文献标识码】A 【文章编号】 1003—6350（2013 ）04—0616—03 Effect of evidence-based nursing on vascular complications and life quality in patients with coronary heart disease undergoing PCI. HUANGJin-lian. InterventionalCenter, AnkangCityCentralHospital,Ankang725000, Shaanxi,CHINA 【Abstract 】 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 compli- cations, 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 t