循证护理在冠心病合并2型糖尿病患者介入治疗围术期应用效果研究.docVIP

循证护理在冠心病合并2型糖尿病患者介入治疗围术期应用效果研究 　　[摘要] 目的 分析研讨循证护理在冠心病合并2型糖尿病患者介入治疗围术期的应用效果。方法 用1：1随机数字法分2组讨论该院2015年8月―2017年9月期间收治的冠心病合并2型糖尿病患者80例，每组40例，对照组接受常规护理，研究组接受循证护理，观察两组护理效果，如并发症发生率、心理状况等，并比较。 结果 研究组并发症总发生率7.50%低于对照组25%（P0.05）；护理后，研究组低于对照组，差异有统计学意义（P0.05）。 结论 建议可将循证护理应用到冠心病合并2型糖尿病患者中，在降低并发症发生率，改善患者心理状况上作用更为突出，值得应用。 　　[关键词] 循证护理；冠心病；糖尿病；护理 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1672-4062（2017）12（b）-0112-02 　　[Abstract] Objective To analyze and research the application effect of evidence-based nursing in intervention therapy of patients with coronary heart disease and type 2 diabetes during the perioperative period. Methods 80 cases of patients with coronary heart disease combined with type 2 diabetes admitted and treated in our hospital from August 2015 to September 2017 were selected and divided into two groups with 40 cases in each， the control group used the routine nursing， while the research group used the evidence-based nursing， and the nursing effect of the two groups was observed， such as incidence rate of complications and mental state. Results The total incidence rate of complications in the research group was lower than that in the control group， （7.50% vs 25%）（P0.05）， after nursing， the HAMA scores in the research group were lower than those in the control group（P0.05）. Conclusion The evidence-based nursing is suggested to be used in the patients with coronary heart disease and type 2 diabetes， and it has a more outstanding effect on reducing the incidence rate of complications and improving the mental state， and it is worth application. 　　[Key words] Evidence-based nursing； Coronary heart disease； Diabetes； Nursing 　　临床较为常见的一种疾病则为冠心病，而冠心病较为常见的一种合并症则为2型糖尿病，患者高血糖症状则加大了手?g治疗的危险性和并发症发生可能性，术后愈合时间被延长。以往治疗过程中，临床多给予常规护理方式，但其疗效无明显改善。循证护理为综合以往患者需求、临床经验、以往研究等而总结出的最佳护理方式。可降低并发症发生率，提升护理质量，促进其疾病恢复，住院时间得到缩短。近年来，该院将循证护理应用到冠心病合并2型糖尿病患者中，其效果突出。现纳入80例患者分2组讨论，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　用1：1随机数字法分2组讨论80例冠心病合并2型糖尿病患者，每组40例。对照组：男性22例，女性18例，年龄45～68岁，平均为（57.3±7.1）岁；研究组：男性23例，女性17