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目的探讨循证护理(EBN)对扩张型心肌病(DCM)合并心力衰竭(HF)患者的干预效果。方法选取本院2015年1月~2016年6月期间收治的DCM合并HF患者80例,并随机分为两组:观察组40例行EBN合并常规护理,对照组40例行常规护理,对比两组护理效果。结果观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)、明尼苏达心力衰竭生活质量调查表(MLHFQ)评分、左室舒张末径(LVEDD)及再住院率均低于对照组,左室射血分数(LVEF)、6min步行距离(6WMT)均高于对照组,组间比较差异有统计学意义(P<0.05)。结论实施循证护理能够降低DCM合并HF患者的焦虑抑郁情绪及再住院率,改善心功能及生活质量。
Objective To investigate the effect of EBN on patients with DCM and heart failure (HF). Methods Eighty patients with DCM complicated with HF admitted from January 2015 to June 2016 in our hospital were selected and randomly divided into two groups: 40 patients in the observation group underwent EBN combined with routine nursing care and 40 patients in control group underwent routine nursing care, compared with two Group nursing effect. Results The scores of SAS, SDS, MLHFQ, LVEDD and rehospitalization in the observation group were lower than those in the control group The control group, left ventricular ejection fraction (LVEF), 6min walking distance (6WMT) were higher than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion The implementation of evidence-based nursing can reduce anxiety, depression and rehospitalization rate, improve cardiac function and quality of life in DCM patients with HF.