循证护理对老年心绞痛患者医嘱依从性及康复效果的影响

目的观察循证护理对老年心绞痛患者医嘱依从性及康复效果的影响。方法将89例老年心绞痛患者随机分为对照组43例和观察组46例。对照组进行常规护理，观察组从心理护理、生活护理及医嘱依从等方面进行循证护理，比较2组患者在1年内各时段的医嘱依从性及1年时康复效果的差异。结果观察组在1，2，4周、3，6个月及1年的医嘱依从率均明显高于同期的对照组；观察组1年时康复总有效率为91．3％，明显高于对照组的62．8％。结论循证护理可以提高老年心绞痛患者的医嘱依从性及康复效果。

Impact of evidence- based nursing care on medication compliance and rehabilitation effect of elderly patients with angina pectoris

Objective To study the effect of evidencebased nursing care on medication compliance and rehabilitation effect of elderly patients with angina pectofis. Methods 89 cases of elderly people with angina pectoris were divided into the control group（43 cases）and the observation group（46 eases）.The control group was treated with cardiology common nursing, the observation group received evidence-based nursing care of psychological nursing, life nursing and medication compliance. The medication compliance in each peri- od of a year and rehabilitation effect after one year were analyzed and compared between the two groups. IResuits The medication compliance rate of the observation group was higher than the control group after 1, 2, 4 weeks, 3, 6 months and 1 year, the total effective rate of rehabilitation was 91.3% in the observation group, also higher than the control group （62.8%）after 1 year. Conclusions Evidence-based nursing care can improve the medication compliance and the effect of rehabilitation of elderly patients with angina pectoris.