研究循证护理干预对于急性心肌梗死并发心律失常患者的作用与效果  

To Study the Effect and Effect of Evidence-Based Nursing Intervention on Patients with Acute Myocardial Infarction Complicated with Arrhythmia

作　　者：李波[1] 金芳[2] 王兰君[3] LI Bo;JIN Fang;WANG Lanjun(Department of Nursing,Dalian Friendship Hospital,Dalian 116001,China;Department of Imaging,Dalian Friendship Hospital,Dalian 116001,China;Department of General Affairs,Dalian Friendship Hospital,Dalian 116001,China)

机构地区：[1]大连市友谊医院护理部,辽宁大连116001 [2]大连市友谊医院影像科,辽宁大连116001 [3]大连市友谊医院总务科,辽宁大连116001

出　　处：《中国医药指南》2021年第34期146-147,150,共3页Guide of China Medicine

摘　　要：目的分析循证护理干预对于急性心肌梗死并发心律失常患者的应用效果。方法选取本院2019年12月至2020年12月诊治的90例急性心肌梗死并发心律失常患者开展本次研究,按照随机数字表平均分成两组,各45例。对照组采用常规护理措施,包括病情监测、用药指导、环境护理等方法;观察组应用循证护理措施,主要包括组建循证护理小组、制订和实施护理方案,并对比住院时间、卧床时间、呼吸频率、心率、心功能改善及护理满意度。结果与对照组住院时间、卧床时间、呼吸频率相比,观察组均明显偏低(P <0.05),与对照组心率指标相比,观察组偏高(P <0.05)。与对照组的心功能Ⅰ级占比和Ⅱ级比例相比,观察组均明显偏高(P <0.05),与对照组的心功能Ⅲ级占比和Ⅳ级占比相比,观察组均明显偏低(P <0.05)。观察组护理满意度为97.78%,明显高于对照组的84.44%(P <0.05)。结论给予急性心肌梗死并发心律失常患者循证护理有助于改善患者预后,具有推广价值。Objective To analyze the application effect of evidence-based nursing intervention for patients with acute myocardial infarction complicated with arrhythmia. Methods A total of 90 patients with acute myocardial infarction complicated with arrhythmia treated in our hospital from December 2019 to December 2020 were selected for this study. They were divided into two groups with 45 cases respectively by random number table. The control group adopted routine nursing measures, including condition monitoring, medication guidance, environmental nursing and other methods;the observation group received evidence-based nursing measures, including the establishment of evidence-based nursing group, the formulation and implementation of nursing plan,and compared the length of hospital stay, bed time, respiratory rate, heart rate, improvement of cardiac function and nursing satisfaction. Results Compared with the control group, the indexes of hospitalization time, bed time, respiratory rate in the observation group were significantly lower(P<0.05), compared with the control group’s heart rate index, the observation group is higher(P <0.05). Compared with the control group, the proportion of heart function grade Ⅰ and Ⅱ in the observation group was significantly higher(P <0.05), and the proportion of heart function grade Ⅲ and Ⅳ in the observation group was significantly lower(P<0.05). Nursing satisfaction in the observation group was 97.78%, which was significantly higher than that in the control group(84.44%),and the difference was statistically significant(P<0.05). Conclusion Evidence-based nursing for patients with acute myocardial infarction complicated with arrhythmia is helpful to improve the prognosis of patients and has popularization value.

关 键 词：循证护理 急性心肌梗死 心律失常 

分 类 号：R473.5[医药卫生—护理学] R542.22[医药卫生—临床医学]