循证护理干预在急性心肌梗死后心律失常患者护理中的应用效果  

Application Effect of Evidence-based Nursing Intervention in the Nursing of Patients with Arrhythmia after Acute Myocardial Infarction

作　　者：宫丽秀 GONG Lixiu(Zhongshan Hospital,Dalian University,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院,辽宁大连116001

出　　处：《中国医药指南》2022年第11期173-175,179,共4页Guide of China Medicine

摘　　要：目的 探讨急性心肌梗死后心律失常患者采取循证护理干预的效果。方法 选取2018年5月至2020年3月大连大学附属中山医院收治的34例急性心肌梗死后心律失常患者作为试验组,采取循证护理干预;另外选取同期34例急性心肌梗死后心律失常患者作为对照组,采取常规护理,比较两组患者的康复有效率、护理满意度以及负性情绪改善情况。结果 试验组康复有效率为97.05%,对照组为79.41%,差异有统计学意义(P <0.05)。试验组护理满意度为97.05%,对照组为82.35%,差异有统计学意义(P <0.05)。护理前,试验组患者与对照组患者焦虑、抑郁情绪评分比较,差异无统计学意义(P> 0.05);护理后,试验组患者焦虑、抑郁情绪评分低于对照组,差异有统计学意义(P <0.05)。结论 对于急性心肌梗死后心律失常患者,采取循证护理干预可提高康复效果和护理满意度,同时能改善负性情绪。Objective To study the influence of evidence-based nursing intervention in patients with arrhythmia after acute myocardial infarction.Methods From May 2018 to March 2020, 34 patients with arrhythmia after acute myocardial infarction were selected as the experimental group,and evidence-based nursing intervention was adopted;another 34 patients with arrhythmia after acute myocardial infarction were selected as the experimental group. In the reference group, conventional nursing was adopted to compare the recovery efficiency, nursing satisfaction rate and negative emotions of the two groups of patients. Results The effective rate of rehabilitation in the experimental group was 97.05%, and that in the reference group was 79.41%, the difference was significant(P<0.05). The nursing satisfaction rate of the experimental group was 97.05%, and that of the reference group was 82.35%, the difference was significant(P<0.05). Before nursing, there was no significant difference in anxiety and depression scores between the experimental group and the reference group(P>0.05). After nursing, the anxiety and depression scores of the experimental group were lower than those of the control group, and the difference was significant(P<0.05). Conclusion For patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention can improve the rehabilitation effect and nursing satisfaction rate,and it can also improve negative emotions.

关 键 词：急性心肌梗死 心律失常 循证护理 负性情绪 康复效果 

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