【摘要】 目的：观察在冠脉搭桥术后多模式镇痛药物治疗期间开展基于循证的疼痛护理干预的效果。方法：选取2023年3月—2025年3月于本院接受冠脉搭桥手术治疗的100例冠心病患者作为研究对象，采用随机数字表法将患者分为两组，每组50例。两组患者均接受多模式镇痛药物干预治疗，其中对照组接受了常规临床护理措施，观察组开展基于循证的疼痛护理干预，比较两组术后不同阶段疼痛程度、焦虑和抑郁程度、并发症发生率和生活质量。结果：观察组术后各阶段VAS评分低于对照组（P<0.05）；观察组干预后HAMA和HAMD评分低于对照组，生活质量评分高于对照组（P<0.05）；观察组术后并发症发生率（4.00%）低于对照组（16.00%）(P<0.05)。结论：对冠脉搭桥患者术后及时开展基于循证的疼痛护理联合多模式镇痛药物干预可降低疼痛水平，改善不良心理状况，降低并发症发生风险，并提升患者的生活质量。更多还原

【Abstract】 Objective: To observe the effect of evidence-based pain nursing intervention during multimodal analgesic drug treatment period after coronary artery bypass grafting. Methods: A total of 100 patients with coronary heart disease who underwent coronary artery bypass grafting in our hospital from March 2023to March 2025 were selected as the research objects. The patients were divided into two groups by random number table method, with 50 patients in each group.Both groups received multimodal analgesic drug intervention. The control group received routine clinical nursing measures, and the observation group carried out evidence-based pain nursing intervention. The pain degree, anxiety and depression degree, complication rate and quality of life at different stages after operation were compared between the two groups. Results: The VAS score of the observation group was lower than that of the control group at all postoperative stages(P<0.05). After intervention, the HAMA and HAMD scores of the observation group were lower than those of the control group, while the quality of life score was higher than that of the control group(P<0.05). The postoperative complication rate of the observation group(4.00%) was lower than that of the control group(16.00%)(P<0.05). Conclusion: Timely evidence-based pain nursing combined with multimodal analgesic drug intervention for patients after coronary artery bypass grafting can reduce the pain level, improve adverse psychological status, reduce the risk of complications, and improve the quality of life of patients.更多还原