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目的:观察中医护理和循证护理两种护理方式,结合对冠心病心绞痛护理干预的有效率及降低治疗后心绞痛复发率。方法:特护组在中医辨证施护的基础上结合循证护理内容,对冠心病心绞痛患者进行个体化护理,对照组进行常规护理。对比两组护理的有效率,并对出院患者心绞痛复发情况进行3个月的随访。结果:在治疗期间经过护理干预,特护组治疗的总有效率为97.5%,对照组治疗的总有效率为87.5%,两组差异显著,有统计学意义(P<0.05);患者出院后进行3个月的随访,主要针对患者心绞痛症状的复发情况进行统计,其中特护组3个月有效随访患者39例,心绞痛复发人数为3例,复发率为7.6%,对照组有效随访患者36例,心绞痛复发人数为8例,复发率为22.2%,两组差异显著,有统计学意义(P<0.05)。结论:将循证护理配合中医护理引入新的护理理念中可以提高冠心病心绞痛患者的治疗有效率及降低治疗后的心绞痛复发率。
OBJECTIVE: To observe the two nursing methods of traditional Chinese medicine and evidence-based nursing, combining the effective rate of nursing intervention on angina pectoris and reducing the recurrence rate of angina pectoris after treatment. Methods: The special care group, based on TCM syndrome differentiation and nursing, combined with the evidence-based nursing content, individualized nursing for patients with coronary heart disease angina pectoris and routine care for the control group. The two groups were compared the efficiency of care, and discharged patients with angina recurrence of 3 months follow-up. Results: During the treatment period, the total effective rate of special care group was 97.5% after nursing intervention. The total effective rate of control group was 87.5%. There was significant difference between the two groups (P <0.05). The patients were discharged after discharge 3 months follow-up, mainly for patients with angina recurrence statistics, including special care group 3 months effective follow-up of 39 patients, the number of recurrence of angina in 3 cases, the recurrence rate was 7.6% in the control group, 36 patients were followed up effectively, There were 8 cases of recurrence of angina, the recurrence rate was 22.2%. There was significant difference between the two groups (P <0.05). Conclusion: The introduction of evidence-based nursing and traditional Chinese medicine nursing into the new concept of nursing can improve the treatment of patients with angina pectoris and reduce the recurrence rate of angina after treatment.