基于ACEStar模式的循证护理实践在心力衰竭病人口渴非药物管理中的应用

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Application of evidence -based nursing practice based on the ACE Star model on the non pharmacological management of thirst in patientswith heart failure ZHANGChenglin，LIXuemei，SUNHui，LIXiaoyan，CHENFang，ZHUYe* Yancheng Third People's Hospital，Jiangsu 2240o1 China *Corresponding Author ZHU Ye，E-mail： 291026895@qq.com

AbstractObjective：Toexploretheapplicationefectofevidence-basednursingpracticebasedontheACEStarmodelinthenonpharmacologicalmanagementofthirstinpatientswithheartfailure.Methods：Aconvenentsamplingmethodwasadoptedtoselect106 patients withheartfailureadmitedtotheDeparmentofCardilogofaGadeIIClassAhospitalinYanchengastheresearchsubjects. And8 nurseswereparticipated.Atotalof52patients withheartfailureadmitedfrom September023toFebruary024wereeolled asthecotrolgroup，and54patientswithheartfailureadmitedfromMarch2O24toJuly2O24astheinterventiongroup.Thecontrol groupreceivedoutinenonpharmacologicalmanagementforheartfailure，whiletheinterventiongroupwasgivenevidence-basednursing practicefornon-pharmacological thirstmanagementinheartfailurepatientsbasedontheACEStarmodel.Thenurses'awarenessrateof practicalevidencmplementatonrateofanevieiicatorseforandtevidenceplcatio，sellasteirstitesitad thirstdistressscoresofpatientsinthetwogroupswerecompared.Results：Aftertheapplicationofevidence，theawarenessateof evidence-based practical evidence among 18 nurses increased from 22.22%-50.00% to 88.89%-100.00% .The implementation rate of review indicators in patients rose from 28.85%-63.46% to 92.59%-100.00% .The scores of thirst intensity and thirst distress in the intervention group were significantly lower than those in the control group，with statistically significant differences （P<0.05 ）.Conclusion： Theevidence-based nursing program fornon-pharmacological hirst management inheartfailurepatients basedonthe ACE Starmodel canimproveurses'awarenessandimplementationratesofevidence-basedpractice，efectivelyaleviatethirstsymptomsandthist distress in patients.

Keywordsheart failure; thirst; non-pharmacological management;evidence-based practice; evidence-based nursing

心力衰竭（heartfailure，HF）是各种心血管疾病的终末期阶段，死亡率高，且患病率持续上升，已成为严重危害人类健康的重大心血管疾病之一[1]。（剩余8770字）