循证护理与常规护理在老年急性心肌梗死患者护理中的效果比较分析  

Comparative analysis of nursing effect of evidence-based nursing and routine nursing in elderly patients with acute myocardial infarction

作　　者：袁丹[1] 陈嘉妍[1] 徐卫平[1] YUAN Dan;CHEN Jia-yan;XU Wei-ping(Department of lnternal Medicine-Cardiovascular,Zhanjiang Central People＇ s Hospital,Zhanjiang 524037,Chin)

机构地区：[1]湛江中心人民医院心内科,524037

出　　处：《中国实用医药》2018年第21期152-153,共2页China Practical Medicine

摘　　要：目的分析并比较循证护理与常规护理在老年急性心肌梗死患者护理中的效果。方法 94例老年急性心肌梗死患者,以入院顺序奇偶性分为试验组和对照组,每组47例。对照组采用常规护理,试验组采用循证护理。比较两组患者住院情况、心律失常发生率以及护理质量。结果试验组患者住院时间显著短于对照组,住院费用显著低于对照组,差异具有统计学意义(P<0.05)。试验组患者心律失常发生率为4.3%,显著低于对照组的21.3%,差异具有统计学意义(χ~2=6.1138,P=0.0134<0.05)。试验组患者健康教育、疑问解答、技术水平以及服务态度评分均高于对照组,差异具有统计学意义(P<0.05)。结论循证护理可有效缩短老年急性心肌梗死患者的住院时间,降低心律失常发生率,效果确切,值得借鉴。Objective To analyze and compare the nursing effect of evidence-based nursing and routine nursing in elderly patients with acute myocardial infarction. Methods A total of 94 elderly patients with acute myocardial infarction were divided into experimental group and control group according to admission order parity, 47 cases in each group. The control group received conventional nursing, and the experimental group received evidence-based nursing. The hospitalization status, incidence of arrhythmia and nursing quality between the two groups were compared. Results The length of hospital stay in the experimental group was significantly shorter than that in the control group, and the hospitalization costs was significantly less than that of the control group, The differences were statistically significant（P〈0.05）. The incidence of arrhythmia in the experimental group was 4.3%, which was significantly lower than 21.3% in the control group, the difference was statistically significant（χ^2=6.1138, P=0.01340.05）. The scores of health education, problem solving, skill level and service attitude in the experimental group were significantly higher than those in the control group, the differences were statistically significant（P〈0.05）. Conclusion Evidence-based nursing can effectively shorten the length of hospital stay and reduce the incidence of arrhythmia. It is effective and worthy of reference.

关 键 词：循证护理 常规护理 老年急性心肌梗死 护理效果 

分 类 号：R-03[医药卫生] R473.5