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Application effects of evidence-based nursing in patients with dilated cardiomyopathy |
LI Meng |
Department of Cardiology, the Fourth Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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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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[1] 陈叶莲,董丹亚.扩张型心肌病患者60例的护理干预对其疗效及预后的影响分析[J].中国地方病防治杂志,2016, 31(11):1270-1271.
[2] Merlo M,Anzini M,Bussani R,et al. Characterization and Long-Term Prognosis of Post-Myocarditic Dilated Cardiomyopathy Compared to Idiopathic Dilated Cardiomyopathy [J]. Am J Cardiol,2016,118(6):895-900.
[3] 王帆,郭秀琴.经皮室间隔心肌化学消融术治疗肥厚梗阻型心肌病术后并发症的观察及护理[J].中华护理杂志,2014,49(4):503-505.
[4] 张寄南,曹克将.肥厚型心肌病诊断与治疗—美国心脏病学学会/欧洲心脏病学学会、美国心脏病协会专家共识导读[J].中华心血管病杂志,2005,33(6):491-494.
[5] 李秋花,马爱玲,马涵英.扩张型心肌病合并右心衰竭患者的循证护理[J].中国煤炭工业医学杂志,2015,18(12):2097-2099.
[6] Later TD. The Current Approach to Diagnosis and Management of Left Ventricular Noncompaction Cardiomyopathy:Review of the Literature [J]. Cardiol Res Pract,2016, 2016(6):1-7.
[7] 巫雪飞,邹长虹,黄燕,等.住院扩张型心肌病患者低钠血症的发生率及其对预后的判断价值[J].中国循环杂志,2015,30(6):529-533.
[8] 冯静,顾晔.连续性系统性护理干预在扩张型心肌病合并心力衰竭患者中的应用效果[J].中华现代护理杂志,2015,21(30):3678-3670.
[9] 张洁.循证护理对血液病患者化疗期间心理问题的干预效果[J].辽宁中医杂志,2015,42(7):1344-1346.
[10] 曹文君,化前珍,王庸晋,等.SF-36量表在中国老年人群中应用的心理学特征测评[J].现代预防医学,2014, 41(6):964-971.
[11] 郭希娟,梁涛.扩张型心肌病病人生活质量影响因素及护理进展[J].护士进修杂志,2014,29(6):513-515.
[12] 陈亦莉.循证护理在扩张型心肌病合并右心衰竭患者规范化护理中的应用[J].中华现代护理杂志,2014,20(16):1976-1978.
[13] 葛赟,姚娟,顾相.扩张型心肌病行心脏再同步化治疗的护理体会[J].实用临床医药杂志,2014,18(20):4-7.
[14] 孙洪巧,张美华,刘敏,等.循证护理对扩张型心肌病合并心力衰竭患者抑郁心理的干预效果[J].国际精神病学杂志,2017,44(2):337-341.
[15] 李兵.循证护理模式在慢性心力衰竭患者中的应用效果[J].中国循证心血管医学杂志,2016,8(1):60-62.
[16] Chiesa G,Busnelli M,Manzini S,et al. Nutraceuticals and Bioactive Components from Fish for Dyslipidemia and Cardiovascular Risk Reduction [J]. Mar Drugs,2016,14(6):113-127.
[17] 张敏霞,王华.中医辨证护理对扩张型心肌病重症患者日常生活能力的影响研究[J].实用临床医药杂志,2016, 20(18):171-172.
[18] 陈兴娟,魏建梁,尹萌萌,等.扩张型心肌病中医辨证治疗体会[J].中医杂志,2014,55(8):708-709.
[19] De la Oliva P,Menéndezsuso JJ,Iglesiasbouzas M,et al. Cardiac preload responsiveness in children with cardiovascular dysfunction or dilated cardiomyopathy:a multicenter observational study [J]. Pediatr Crit Care Med,2015, 16(1):45-53.
[20] 钱秋月,鲁春燕,孙网凤.出院后延续性护理干预对扩张型心肌病患者生活质量的影响[J].护士进修杂志,2014, 29(18):1702-1704. |
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