摘要
目的:探讨情景模拟结合循证医学理论的临床护理路径在房颤患者中的应用。方法:将2021年1月1日~2022年6月30日心血管内科收治的150例房颤患者随机分为对照组和观察组各75例,对照组实施常规护理,观察组在对照组基础上实施情景模拟结合循证医学理论的临床护理路径,比较两组护理效果。结果:干预后6个月,两组Morisky用药依从性问卷、一般自我效能感量表(GSES)评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);干预后6个月,两组自我护理能力测定量表(ESCA)评分高于干预前(P<0.05),且观察组高于对照组(P<0.05);观察组不良反应总发生率低于对照组,但两组比较差异无统计学意义(P>0.05)。结论:将情景模拟结合循证医学理论的临床护理路径应用于房颤患者,可提升其应用抗心律失常药物的依从性,改善自我效能感及自护能力。
Objective:To explore the application of clinical care pathway of scenario simulation combined with evidence-based medical theory in patients with atrial fibrillation.Methods:A total of 150 AF patients admitted to the cardiovascular medicine department between January 1,2021 and June 30,2022 were selected and randomly divided into the control group and the observation group with 75 cases in each group.The control group implemented routine care,and the observation group implemented clinical care pathway of scenario simulation combined with evidence-based medical theory,and nursing effects were compared between the two groups.Results:The Morisky Medication compliance questionnaire and the general self-efficacy scale(GSES)scores were higher in both groups than those before intervention(P<0.05),and those in the observation group 6 months after the intervention were higher than those in the control group(P<0.01).All the self-care ability(ESCA)scores in both groups were higher than those before intervention at 6 months after intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).The overall incidence of adverse effects at 6 months after intervention were lower in the observation group than those in the control group,but the difference was not significance(P>0.05).Conclusion:Application of clinical care pathway of scenario simulation combined with evidence-based medical theory in patients with AF can increase their adherence and improve their self-efficacy as well as their self-care ability when applied against arrhythmias.
作者
孙陈铃
贾敏
吴惠
王立春
Sun Chenling;Jia Min;Wu Hui(Taizhou People′s Hospital Affiliated to Nanjing Medical University,Taizhou Jiangsu 225300,China)
出处
《齐鲁护理杂志》
2023年第24期20-23,共4页
Journal of Qilu Nursing
关键词
房颤
抗心律失常药物
情景模拟
循证医学理论
临床护理路径
依从性
AF
Antiarrhythmic drugs
Scenario simulation
Theory of evidence-based medicine
Clinical care pathways
Adherence
