基于循证医学的多维度协同护理对高血压并发冠心病的护理效果

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摘要目的探究基于循证医学的多维度协同护理对高血压并发冠心病患者血压控制及心功能的影响。方法回顾性分析2020年4月—2022年4月本院收治的100例高血压并发冠心病患者的临床资料,按照护理方法的不同分为2组,其中实施常规护理的50例患者为对照组,实施基于循证医学的多维度协同护理的50例患者为观察组。比较2组血压、心功能、负性情绪、生活质量、护理满意度。结果护理后观察组收缩压、舒张压分别为(136.10±8.18)mmHg 、(87.43±6.54)mmHg,与对照组的(153.27±10.42)mmHg、(96.39±7.64)mmHg相比,差异具有统计学意义(F组间与时间交互=30.413、14.560,P均<0.05);观察组护理后左心室射血分数(LVEF)为(66.79±3.89)%,与对照组的(60.83±3.54)%相比,差异具有统计学意义(F组间与时间交互=32.267,P<0.05);观察组护理后左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)分别为(45.76±3.78)mm、(50.42±2.18)mm,与对照组的(50.24±3.53)mm、(54.47±2.23)mm相比,差异具有统计学意义(F组间与时间交互=16.877、30.950,P均<0.05);观察组护理后抑郁自评量表(SDS)评分为(42.12±1.26)分,与对照组的(48.24±1.93)分相比,差异具有统计学意义(F组间与时间交互=58.511,P<0.05);观察组护理后健康调查简表(SF-36)中总体健康评分为(75.82±3.69)分,与对照组的(66.13±3.16)分相比,差异具有统计学意义(F 组间与时间交互=145.340,P<0.05)。结论基于循证医学的多维度协同护理能够提高高血压并发冠心病患者血压控制效果,减轻负性情绪,改善心功能及生活质量。　

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	栗亚茹
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关键词 ：高血压, 冠心病, 循证医学, 多维度协同护理, 血压, 心功能

Abstract：Objective To investigate the effect of multi-dimensional collaborative nursing based on evidence-based medicine on blood pressure control and cardiac function in patients with hypertension complicated by coronary heart disease. Methods A retrospective analysis was performed for the clinical data of 100 patients with hypertension complicated by coronary heart disease admitted to our hospital from April 2020 to April 2022, these patients were divided into two groups according to different nursing methods, of which 50 patients who implemented routine nursing were the control group and 50 patients who implemented multi-dimensional collaborative nursing based on evidence-based medicine were the observation group. The two groups were compared with blood pressure, cardiac function, negative mood, quality of life, and nursing satisfaction. Results After nursing, the average systolic blood pressure and diastolic blood pressure in the observation group were (136.10±8.18) mmHg and (87.43±6.54) mmHg, respectively, compared with (153.27±10.42) mmHg and (96.39±7.64) mmHg in the control group, the differences were statistically significant (Finteraction between groups and time=30.413, 14.560, both P<0.05). After nursing, the left ventricular ejection fraction (LVEF) in the observation group was (66.79±3.89%)%, compared with (60.83±3.54%) % in the control group, there were statistically significant differences (Finteraction between groups and time=32.267, P<0.05). The left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) after nursing in the observation group were (45.76±3.78) mm and (50.42±2.18) mm, respectively, compared with (50.24±3.53) mm and (54.47±2.23) mm in the control group, the differences were statistically significant (Finteraction between groups and time=16.877, 30.950, both P<0.05). The post-nursing depression self-rating scale (SDS) score in the observation group was (42.12±1.26), compared with the control group (48.24±1.93), there was a statistically significant difference (Finteraction between groups and time=58.511, P<0.05). The overall health score in SF-36 of the observation group was (75.82±3.69), and there was a statistically significant difference compared with the control group (66.13±3.16) (Finteraction between groups and time=145.340, P<0.05). Conclusion Multi-dimensional collaborative nursing based on evidence-based medicine can improve the blood pressure control effect, reduce negative emotions, and improve cardiac function and quality of life in patients with hypertension complicated by coronary heart disease.

Key words： Hypertension Coronary heart disease Evidence-based medicine Multidimensional collaborative nursing Blood pressure Cardiac function

收稿日期: 2022-12-31

ZTFLH:

R473.5

作者简介: 栗亚茹(1988—),女,河南西平人,主管护师,本科学历,研究方向为心脑血管疾病。

引用本文:

栗亚茹,胡文佳,侯明明. 基于循证医学的多维度协同护理对高血压并发冠心病的护理效果[J]. 中国校医, 2023, 37(10): 778-782.
LI Yaru, HU Wenjia, HOU Mingming. Nursing effect of multi-dimensional collaborative nursing based on evidence-based medicine on hypertension complicated by coronary heart disease. Chinese Journal of School Doctor, 2023, 37(10): 778-782.

链接本文:

https://www.zgxyzz.org.cn/CN/ 或 https://www.zgxyzz.org.cn/CN/Y2023/V37/I10/778

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