基于循证护理的中医特色疗法对急性心肌梗死PCI术后心理及生存质量的影响
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摘要
目的探讨基于循证护理的中医特色疗法对急性心肌梗死PCI术后心理及生存质量的影响。方法选取我院78例急性心肌梗死PCI术后的患者随机分为对照组和治疗组,各39例,对照组给予常规对症治疗和护理,治疗组在对照组的基础上应用基于循证护理的中医特色疗法进行护理,2组均治疗2个月。比较2组满意度、心理和生存质量改善情况及护理效果。结果治疗组满意度为85%,明显高于对照组的67%,差异具有统计学意义(P <0.05);治疗组焦虑、抑郁、恐惧情况较对照组改善更为显著(P <0.05);治疗组生存质量改善情况优于对照组(P <0.05);治疗组护理临床总有效率为87.18%高于对照组的69.23%,差异具有统计学意义(P <0.05)。结论基于循证护理的中医特色疗法对急性心肌梗死PCI术后患者有较好的的治疗效果,可显著改善急性心肌梗死PCI术后患者的心理状况和生存质量,提高护理效果,值得临床推广应用。
Objective To investigate the effect of TCM characteristic therapy based on evidence-based nursing on psychology and quality of life of patients with acute myocardial infarction after PCI. Methods 78 patients with acute myocardial infarction after PCI in our hospital were selected for experimental study and randomly divided into treatment group and control group with 39 cases in each group. The control group was given routine symptomatic treatment and nursing. The treatment group adopted evidence-based TCM characteristic therapy on the basis of the control group. The patients in both groups were treated for 2 months. The degree of satisfaction, psychological and lifequality improvement, and nursing effect were compared between the two groups. Results The degree of satisfaction in treatment group and control group were 85 % and 67%, respectively, the degree of treatment group significant higher than that of control group, and the dif ference was statistically significant(P < 0.05). The improvement of anxiety,depression, and fear in the treatment group were significantly better than those of the control group(P < 0.05). The improvement of quality of life of treatment group was more significant than that of control group(P < 0.05). The total effective rate of clinic nursing in treatment group and control group were 87.18% and 69.23%, respectively, the effective rate of treatment group was higher than that of control group, and the difference was statistically significant(P < 0.05).Conclusion The TCM characteristic therapy which is based on evidence-based nursing, has good therapeutic effect on patients with acute myocardial infarction after PCI, can significantly improve the psychological status and quality of life of patients with acute myocardial infarction after PCI and improve the nursing ef fect.
Objective To investigate the effect of TCM characteristic therapy based on evidence-based nursing on psychology and quality of life of patients with acute myocardial infarction after PCI. Methods 78 patients with acute myocardial infarction after PCI in our hospital were selected for experimental study and randomly divided into treatment group and control group with 39 cases in each group. The control group was given routine symptomatic treatment and nursing. The treatment group adopted evidence-based TCM characteristic therapy on the basis of the control group. The patients in both groups were treated for 2 months. The degree of satisfaction, psychological and lifequality improvement, and nursing effect were compared between the two groups. Results The degree of satisfaction in treatment group and control group were 85 % and 67%, respectively, the degree of treatment group significant higher than that of control group, and the dif ference was statistically significant(P < 0.05). The improvement of anxiety,depression, and fear in the treatment group were significantly better than those of the control group(P < 0.05). The improvement of quality of life of treatment group was more significant than that of control group(P < 0.05). The total effective rate of clinic nursing in treatment group and control group were 87.18% and 69.23%, respectively, the effective rate of treatment group was higher than that of control group, and the difference was statistically significant(P < 0.05).Conclusion The TCM characteristic therapy which is based on evidence-based nursing, has good therapeutic effect on patients with acute myocardial infarction after PCI, can significantly improve the psychological status and quality of life of patients with acute myocardial infarction after PCI and improve the nursing ef fect.
引文
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[9]李燕燕,史铁英,周艳丽,等.急性心肌梗死患者住院期间生活质量影响因素的调查研究[J].中国全科医学,2013,16(21):2493-2496.
[10]冯宇翔,李倩茹,张梦霜,等.延续性护理干预对冠心病介入治疗的预后质量的影响[J].临床研究,2016,24(3)160-161.
[11]李苹,林平,陶领伟,等.延续性自我管理干预对PCI患者自我管理行为的影响[J].中华现代护理杂志,2014,20(24):3019-3023.
[12]何翠竹,梁欣,曲银玲,等.对急性心肌梗死冠脉介入治疗患者进行延续护理的效果观察[J].中国医药导报,2016,13(1):159-162.
[13]陈淑艳.中医情志护理对冠心病心绞痛疗效的影响[J].长春中医药大学学报,2015,31(6):1248-1250.
[14]郭道群,师彦勇.中西医结合治疗冠心病急性心肌梗死患者的临床疗效及安全性[J].医学综述,2016,22(11):2218-2221.
[15]梁伍今,李慧丹,张玥.家庭护理干预对冠心病患者生活质量的影响[J].长春中医药大学学报,2013,29(5):907-909.
[16]马洪宇,王爱红.中医临床护理路径联合胸痹贴干预冠心病心绞痛疗效及对患者满意度影响[J].长春中医药大学学报,2016,32(4):762-764.
[17]乐惠玲.中医护理干预在心肌梗死患者中的应用价值[J].辽宁中医杂志,2013,40(6):1231-1232.
[18]李秀敏,吕燕,张瑞芹.中医护理干预在心肌梗死患者中的应用价值研究[J].内蒙古中医药,2015,34(10):157.
[19]孙晓琳.辨证施护对冠心病焦虑抑郁状态及患者自我护理能力的影响[J].长春中医药大学学报,2018,34(1):142-144.
[20]孙治霞,周云洁,黄家芹,等.冠心病住院病人抑郁状态临床调查及其情志护理研究[J].吉林中医药,2011,31(3):217-218.
[2]毕春晖,谭霞,尹淑华.舒适护理在急性心肌梗死患者经皮冠状动脉介入术中应用的效果评价[J].中国实用护理杂志,2013,29(16):33-35.
[3]陈宏丽,李清,范雪丽,等.心理干预对中青年急性心肌梗死患者心理状态的影响[J].中西医结合心脑血管病杂志,2013,11(7):880-881.
[4]陈灏珠,林果为,王吉耀.实用内科学(下册)[M].14版.北京:人民卫生出版社,2013:1337-1352.
[5]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:295.
[6]胡经文,刘美丽,王文茹,等.临床路径在急性心肌梗死患者心脏康复随访中的应用[J].中华护理杂志,2013,48(7)593-596.
[7]岳秀艳.延续性护理对急性心肌梗死患者抑郁焦虑情绪的影响分析[J].中国实用医药,2016,11(7):220-221.
[8]黄晔磊.合并OSA的心血管疾病患者心理状况及其影响因素分析[J].浙江医学,2016,38(7):507-508.
[9]李燕燕,史铁英,周艳丽,等.急性心肌梗死患者住院期间生活质量影响因素的调查研究[J].中国全科医学,2013,16(21):2493-2496.
[10]冯宇翔,李倩茹,张梦霜,等.延续性护理干预对冠心病介入治疗的预后质量的影响[J].临床研究,2016,24(3)160-161.
[11]李苹,林平,陶领伟,等.延续性自我管理干预对PCI患者自我管理行为的影响[J].中华现代护理杂志,2014,20(24):3019-3023.
[12]何翠竹,梁欣,曲银玲,等.对急性心肌梗死冠脉介入治疗患者进行延续护理的效果观察[J].中国医药导报,2016,13(1):159-162.
[13]陈淑艳.中医情志护理对冠心病心绞痛疗效的影响[J].长春中医药大学学报,2015,31(6):1248-1250.
[14]郭道群,师彦勇.中西医结合治疗冠心病急性心肌梗死患者的临床疗效及安全性[J].医学综述,2016,22(11):2218-2221.
[15]梁伍今,李慧丹,张玥.家庭护理干预对冠心病患者生活质量的影响[J].长春中医药大学学报,2013,29(5):907-909.
[16]马洪宇,王爱红.中医临床护理路径联合胸痹贴干预冠心病心绞痛疗效及对患者满意度影响[J].长春中医药大学学报,2016,32(4):762-764.
[17]乐惠玲.中医护理干预在心肌梗死患者中的应用价值[J].辽宁中医杂志,2013,40(6):1231-1232.
[18]李秀敏,吕燕,张瑞芹.中医护理干预在心肌梗死患者中的应用价值研究[J].内蒙古中医药,2015,34(10):157.
[19]孙晓琳.辨证施护对冠心病焦虑抑郁状态及患者自我护理能力的影响[J].长春中医药大学学报,2018,34(1):142-144.
[20]孙治霞,周云洁,黄家芹,等.冠心病住院病人抑郁状态临床调查及其情志护理研究[J].吉林中医药,2011,31(3):217-218.
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