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目的冠心病为临床常见心血管疾病,多发于中老年人群,探讨循证护理对老年冠心病患者介入术后生存质量的影响。方法选取2014年7月—2016年9月郑州大学附属洛阳中心医院老年(年龄>60岁)冠心病患者78例,随机数表法分为观察组和对照组,每组39例,两组均行介入手术治疗,对照组予以常规围术期护理,观察组于对照组的治疗基础上予以循证护理,统计对比两组围术期并发症发生率,采用西雅图心绞痛量表(SAQ)评价两组术前、出院时、术后3个月生存质量。结果观察组并发症发生率7.69%(3/39)低于对照组28.21%(11/39),差异有统计学意义(P<0.05);术前两组SAQ分值比较,差异无统计学意义(P>0.05),出院前、术后3个月,观察组SAQ分值均明显高于对照组,差异有统计学意义(P<0.05)。结论循证护理应用于老年冠心病介入术,能降低围术期并发症发生率,提高患者术后短期内生存质量。
Objective Coronary heart disease (CHD) is a common cardiovascular disease in the elderly. The prevalence of coronary heart disease (CHD) in elderly patients with coronary heart disease (CHD) after PCI is investigated. Methods From July 2014 to September 2016, 78 elderly patients (aged> 60 years) with coronary heart disease in Luoyang Central Hospital Affiliated to Zhengzhou University were divided into observation group and control group with random number table method, 39 cases in each group, The patients in the control group were given routine perioperative nursing. The observation group was given evidence-based nursing care based on the treatment of the control group. The incidence of perioperative complications was compared between the two groups. The SAQ score was used to evaluate the two groups. Preoperative, discharge, postoperative 3 months of quality of life. Results The complication rate in the observation group was 7.69% (3/39) lower than that in the control group (28.21%, 11/39) (P <0.05). There was no significant difference in SAQ scores between the two groups Significance (P> 0.05). Before discharge and 3 months after operation, SAQ scores in the observation group were significantly higher than those in the control group (P <0.05). Conclusion Evidence-based nursing is used in elderly patients with coronary artery disease, which can reduce the incidence of perioperative complications and improve the short-term quality of life of patients.