Abstract：Objective To explore the effects of evidence-based nursing in patients with dilated cardiomyopathy (DCM). Methods From April 2016 to February 2017, 84 patients with DCM treated in the Fourth Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table, with 42 cases in each group. The control group was given conventional nursing model and the observation group was given evidence-based nursing model. The improvement of the cardiac function, the degree of knowledge mastery and nursing satisfaction were compared between the two groups after nursing. The self-rating anxiety scale (SAS), self-rating depression scale (SAS) and the medical outcomes study 36-item short form health survey (SF-36) were applied to assess the anxity, depression and health status in the two groups before and after nursing. Results After nursing, the total effective rate in the observation group (95.24%) was higher than that of control group (78.57%), with statistically significant difference (P ＜ 0.05). The scores of knowledge mastery and nursing satisfaction were all higher than those of control group, with statistically significant differences(P ＜ 0.05). After nursing, the scores of SDS and SAS in the two groups were all lower than those of before nursing, the score of SF-36 was higher than that of before nursing, and the scores above in the observation group improved much more remarkably, with statistically significant differences (P ＜ 0.05). Conclusion The evidence-based nursing model can improve the cardiac function and health status, reduce the depression and anxiety status in patients with DCM. It is worthy of promotion and application.
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2018, Vol. 15 
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