Contemporary Nursing
Contemporary Nursing. 2025; 6: (8) ; 10.12208/j.cn.20250404 .
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云南省中医医院全科医学科 云南昆明
*通讯作者： 刘丹,单位：云南省中医医院全科医学科 云南昆明；
目的 分析老年急性左心衰竭患者护理中循证护理的临床应用效果。方法 研究以本院我科急性左心衰竭患者作为研究样本，样本量筛选100例，收集时间点：2022年2月-2024年2月，按照将患者划分两组，常规护理组50例，接受常规护理，循证护理组50例，接受循证护理。统计分析两组生命体征指标、心功能指标、生命质量、临床疗效、院内呼吸道感染发生情况、不良事件发生情况、护理满意度。结果 循证护理组LVEF、生命质量评分均高于常规护理组（P<0.05），呼吸频率、心率、血压、LVESD、LVEDD、NT-proBNP水平均低于常规护理组（P<0.05），总有效率90.00%（45/50）高于常规护理组66.00%（33/50）（χ2=4.812，P<0.05），院内呼吸道感染发生率10.00%（5/50）低于常规护理组30.00%（15/50）（χ2=6.250，P<0.05），不良事件发生率6.00%（3/50）低于常规护理组20.00%（10/50）（χ2=4.332，P<0.05），护理满意度96.00%（48/50）高于常规护理组80.00%（40/50）（χ2=6.061，P<0.05）。结论 老年急性左心衰竭循证护理的效果较好。
Objective To analyze the clinical application effect of evidence-based nursing in the nursing of elderly patients with acute left heart failure. Methods Patients with acute left heart failure in the cardiology department of our hospital were selected as the research samples. A sample size of 100 cases was screened. The collection time points were from February 2022 to February 2024. The patients were divided into two groups: 50 cases in the conventional care group received conventional care, and 50 cases in the evidence-based care group received evidence-based care. The vital sign indicators, cardiac function indicators, quality of life, clinical efficacy, occurrence of in-hospital respiratory tract infections, occurrence of adverse events and nursing satisfaction of the two groups were statistically analyzed. Results The LVEF and quality of life scores in the evidence-based nursing group were higher than those in the conventional nursing group (P<0.05), while the respiratory rate, heart rate, blood pressure, LVESD, LVEDD, and NT-proBNP levels were all lower than those in the conventional nursing group (P<0.05). The total effective rate was 90.00% (45/50), which was higher than 66.00% (33/50) in the conventional nursing group (χ2=4.812, P<0.05), and the incidence of nosocomial respiratory tract infection was 10.00% (5/50), which was lower than 30.00% (15/50) in the conventional nursing group (χ2=6.250, P<0.05). The incidence of adverse events was 6.00% (3/50), which was lower than 20.00% (10/50) in the conventional nursing group (χ2=4.332, P<0.05), and the nursing satisfaction rate was 96.00% (48/50), which was higher than 80.00% (40/50) in the conventional nursing group (χ2=6.061, P<0.05). Conclusion The effect of evidence-based nursing for elderly patients with acute left heart failure is relatively good.
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