摘要
目的:探讨循证护理对冠心病PCI患者医嘱依从性及生存质量的影响。方法:将74例冠心病PCI患者随机分为干预组和对照组各37例,干预组应用循证护理,对照组实行常规护理。通过随访,分析、比较两组患者术后1年内医嘱依从性、不良反应和并发症发生率及术后3、6、12个月生存质量。结果:干预组术后1年内医嘱依从率均优于对照组(P<0.05,P<0.01),不良反应及并发症发生率均低于对照组(P<0.01),术后3、6、12个月生存质量均优于对照组(P<0.05)。结论:应用循证护理可提高冠心病PCI患者医嘱依从性,降低其不良反应及并发症发生率,提高患者生存质量。
Objective ： To explore the impact of evidence - based nursing care on medication compliance and quality of life of patients with coronary heart disease after PCI. Methods ： 74 patients with PCI were randomly divided into intervention and control groups （37 cases for each group）. Evidence -based nursing care was adopted in intervention group and conventional nursing care was taken in control group. Medication compliance, adverse reactions, the incidence of complications within one year after operation and quality of life of the patients in 3, 6 and 12 months after operation were analyzed and compared between the two groups by the data of follow - up. Results ： The rate of medication compliance within one year after operation was higher in intervention group than that in control group （P〈0.05, P 〈 0.01 ） ; adverse reactions and the incidence of complicati6ns were lower in intervention group than that in control group （ P 〈0. 01 ） ; quality of life of the patients in 3, 6, 12 months after operation was better in intervention group than that in control group （ P 〈0.05 ）. Conclusion ： Evidence - based nursing care can improve patient＇s medication compliance, reduce adverse reactions and the incidence of complications and improve quality of life of patients with coronary heart disease after PCI.
关键词
循证护理
冠心病
PCI
医嘱依从性
生存质量
Evidence - based care
Coronary heart disease
PCI
Medication compliance
Quality of life
