Application effect of evidence-based nursing in perioperative period of acute coronary syndrome

摘要

Objective: To investigate the effect of evidence-based nursing on anxiety and depression, sleep quality and life quality of patients with acute coronary syndrome during perioperative period of percutaneous coronary intervention. Method: 113 patients with acute coronary syndrome treated with percutaneous coronary intervention in our hospital from November 2016 to June 2019 were collected and randomly divided into group A and group B. Among them, 58 cases in group A were given routine nursing care, another 55 cases in group B were given evidence-based nursing on the basis of group A. The left ventricular ejection fraction (EF) and left ventricular end diastolic diameter (LVEDD), VAS pain score index, anxiety and depression after nursing intervention were observed in groups A and B. The improvement of sleep quality (Pittsburgh Sleep Quality Index (PSQI)), the incidence of adverse reactions, nursing satisfaction (with the total score of 10 points for each item, the higher score indicates the higher satisfaction), coronary self-management scale (CSMS) were recorded so as to evaluate self-management ability and quality of life after nursing. Results: After nursing, the indicators of heart function, VAS score, anxiety, depression, sleep quality, incidence of adverse reactions, nursing satisfaction, self-management score and quality of life in Group B showed better results compared with Group A (P < 0.05). Conclusion: Evidence-based nursing can alleviate anxiety and depression of patients with acute coronary syndrome during perioperative period of percutaneous coronary intervention and improve the quality of life.