实证护理干预对老年慢性心力衰竭患者遵医行为及负性自我概念的影响.docVIP

精品论文 参考文献 实证护理干预对老年慢性心力衰竭患者遵医行为及负性自我概念的影响 陈淑敏 毕艳玲 　　（山东省阳信县人民医院 251800） 　　【摘要】目的 观察实证护理干预对老年慢性心力衰竭患者遵医行为及负性自我概念的影响。方法 将132例老年慢性心力衰竭患者随机分为观察组62例和对照组70例。对照组进行一般护理干预，观察组采用常规护理和循证护理干预，比较2组患者医嘱依从性及负性自我概念的差异。结果 与对照组相比，观察组患者的医嘱依从性明显提高，负性自我概念明显减轻。结论 常规护理干预加循证护理干预可以减轻老年慢性心力衰竭患者的负性情绪，提高其医嘱依从性。 　　【关键词】循证护理干预 老年慢性心力衰竭 医嘱依从性 负性自我概念 　　【中图分类号】R471 【文献标识码】A 【文章编号】1672-5085（2014）12-0034-02 　　Influence of evidence-based nursing care on medication compliance and negative self-concept of elderly chronic heart failure patients 　　CHEN Shu-min Yangxi Peoplersquo;s Hospital，Shandong Province,Yangxin 251800,China 　　【Abstract】 Objective To study the effect of evidence-based nursing care on medication compliance and negative self-concept of elderly chronic heart failure patients. Methods 138 cases of elderly people with chronic heart failure were divided into the control group(70 cases) and the observation group(68 cases). The control group was treated with cardiology common nursing, the observation group received evidence-based nursing care and cardiology common nursing. Medication compliance and negative self-concept were compared. Results Compared. with the control group, the negative self-concept alleviated and The medication compliance improved of the observation group. Conclusions Evidence-based nursing care can improve the medication compliance and the negative self-concept of elderly chronic heart failure patients. 　　【Key words】Evidence-based nursing care elderly chronic heart failure Medication compliance Negative self-concept 　　慢性心力衰竭（chronic heart failure，CHF）是心血管疾病的终末期表现和最主要的死因，是21世纪心血管领域的两大挑战之一。尽管心血管治疗有了很大进展，心衰患者死亡数仍在不断增加[1]。心衰患者易出现疲劳、呼吸困难、失眠等症状，这些症状长期存在易使患者生理功能下降，治疗依从性下降，意志力消沉。国外研究报道[2]早期慢性心衰患者出院后的3-6个月再住院率达15%-30%,但其中50%通过干预可免于再次住院。实证护理（evidence-based nursing，EBN）也称循证护理，是一种新方法、新认识、新思维，最近在护理领域中广为应用。有研究[3-4]认为：实证护理是护理人员将其护理活动过程进行计划，并将其科研结果与临床护理经验、患者的需要进行结合而得到证据，以其作为采取护理措施依据的过程，也就是说以科学而可靠的科学研究结果作为采取护理的依据，寻找