循证护理在急性心肌梗死后心律失常中的效果和对患者焦虑情绪影响体会  

Effect of evidence-based nursing on arrhythmia after acute myocardial infarction and influence on anxiety of patients

作　　者：张建华[1] 陈渺[1] 黄妙琴[1] 劳素银[1] Jianhua ZHANG;Miao CHEN;Miaoqin HUANG;Suyin LAO(Foshan First People's Hospital, Foshan 528000, China)

机构地区：[1]佛山市第一人民医院

出　　处：《心血管外科杂志（电子版）》2019年第2期193-194,共2页Journal of Cardiovascular Surgery(Electronic Edition)

摘　　要：目的探讨循证护理方案对急性心肌梗死并心律失常患者的临床治疗效果和负面心理影响。方法将2018年4月-2019年4月在本院接受治疗的90例急性心肌梗死并心律失常患者,随机分为两组,每组45例,对照组给予常规护理方案,观察组给予患者循证护理措施,将两组心理状态及治疗有效率记录和对比。结果观察组抑郁自评表(32.21±1.51)分,焦虑自评表分(32.13±0.34)分均显著低于对照组(P<0.05);观察组患者治疗效果93.33%高于对照组75.56%,差异比较具统计学意义(P<0.05)。结论对急性心肌梗死并心律失常患者患者,给予循证护理措施,能够改善患者心理状态,提升患者临床疗效,具一定临床应用价值。Objective To investigate the clinical and negative psychological effects of evidence-based nursing program on patients with acute myocardial infarction and arrhythmia. Methods The ninety patients with acute myocardial infarction and arrhythmia who were treated in our hospital from April 2018 to April 2019 were randomly divided into two groups, 45 in each group. The control group received routine care and the observation group was given patients. The nursing measures were recorded and compared between the two groups’ mental status and treatment effectiveness. Results In the observation group, the self-evaluation table for depression(32.21±1.51) and the scores for anxiety self-assessment(32.13±0.34) were significantly lower than the control group(P<0.05). The therapeutic effect of the observation group was 93.33% higher than that of the control group 75.56%, the difference was statistically significant(P<0.05). Conclusion The evidence-based nursing measures for patients with acute myocardial infarction and arrhythmia can improve the patient’s psychological state and improve the clinical efficacy of patients, and have certain clinical application value.

关 键 词：循证护理 急性心肌梗死 心律失常 负面情绪 临床效果 

分 类 号：R473.5[医药卫生—护理学] R-03[医药卫生—临床医学]