摘要
目的:探讨基于循证理念的规范化早期活动流程对老年冠心病(CHD)行经皮冠状动脉介入治疗术(PCI)后患者的影响。方法:选取2018年1月1日~2020年12月31日80例老年CHD行PCI患者随机分为循证护理组42例和常规护理组38例,常规护理组给予常规护理及早期常规运动康复,循证护理组在常规护理基础上实施基于循证理念的规范化早期活动流程,比较两组患者术前及护理后心肺功能变化、护理前后日常生活能力和生活质量。结果:两组护理后6分钟步行试验(6MWT)、运动峰值心率、1 min心率恢复值优于术前(P<0.01),循证护理组护理后6MWT、运动峰值心率、1 min心率恢复值优于常规护理组(P<0.01);两组护理后日常生活能力中自理、括约肌控制、行进、转移、交流评分高于护理前(P<0.01),循证护理组护理后日常生活能力中自理、括约肌控制、行进、转移、交流评分高于常规护理组(P<0.01);两组护理后生活质量中一般健康状况、生理职能、生理机能、躯体疼痛、情感职能、精神健康、精力评分高于护理前(P<0.01),循证护理组护理后生活质量中一般健康状况、生理职能、生理机能、躯体疼痛、情感职能、精神健康、精力评分高于常规护理组(P<0.01)。结论:基于循证理念的规范化早期活动流程可改善老年CHD行PCI后患者的心肺功能,提升患者日常生活自理能力和生活质量。
Objective:To explore the effect of evidence-based standardized early activity process in senile postoperative patients with coronary heart disease(CHD)undergoing PCI.Methods:During January 1,2018 to December 31,2020,80 cases of senile CHD patients with PCI were randomly divided into the evidence-based nursing group with 42 cases and routine nursing group with 38 cases,the conventional nursing group was given routine nursing and early exercise rehabilitation,the evidence-based nursing group on the basis of conventional nursing implemented evidence-based standardized early activity process,comparison was made between the two groups before and after nursing on cardiopulmonary function changes,daily life ability and quality of life.Results:After nursing,the 6 minutes walk test(6 MWT),movement peak heart rate and 1 min heart rate recovery value were better in both groups than those before operation(P<0.01).After nursing,the 6 MWT,1 min movement peak heart rate,heart rate recovery value were better in the evidence-based nursing group than those in the conventional nursing group(P<0.01).After nursing,the daily life self-care ability,sphincter control,travel,transfer,and exchange scores were higher in both groups than those before nursing(P<0.01).After nursing,the self-care in daily life ability,sphincter control,travel,transfer,and exchange scores were higher in the evidence-based nursing group than those in the routine nursing group(P<0.01).After nursing,the general health in nursing quality of life,physical function,physiological function,body pain,emotional functions and mental health,and energy scores were higher in both groups than those before nursing(P<0.01).After nursing,the general health in quality of life,physical function,physiological function,body pain,emotional functions and mental health,and energy scores were higher in the evidence-based nursing group than those in the routine nursing group(P<0.01).Conclusions:Eevidence-based standardized early activity process can improve cardiopulmonary function in se
作者
苏茗羽
谢雅萍
陈一慧
Su Mingyu;Xie Yaping;Chen Yihui(Xuzhou Medical University Affiliated Hospital,Xuzhou Jiangsu 221000,China)
出处
《齐鲁护理杂志》
2022年第14期23-26,共4页
Journal of Qilu Nursing
关键词
循证护理
规范化早期活动流程
冠心病
PCI
自我管理
生活质量
Evidence-based nursing
Standardized early activity process
Coronary heart disease
PCI
Self management
Quality of life
