循证护理对急性心肌梗死后心律失常患者护理效果的影响  

Effect of Evidence-based Nursing on Nursing Effect of Patients with Arrhythmia after Acute Myocardial Infarction

作　　者：李姗姗 张桂英 LI Shanshan;ZHANG Guiying(Department of Circulation,Benxi Jinshan Hospital,Benxi 117000,China)

机构地区：[1]本溪市金山医院循环科,辽宁本溪117000

出　　处：《中国医药指南》2023年第2期28-31,共4页Guide of China Medicine

摘　　要：目的 探讨循证护理对急性心肌梗死后心律失常患者护理效果的影响。方法 选取本院收治的92例急性心肌梗死后心律失常患者,采用黄绿双色球法将其分成两组各46例,对照组采用常规护理,观察组采用循证护理,比较两组患者护理前后的不良心理情绪变化情况和心脏不良事件发生情况。结果 护理前观察组患者的焦虑评分(59.48±7.15)分和抑郁评分(57.31±8.29)分与对照组的(59.72±7.26)分和(57.63±8.47)分比较差异无统计学意义(P>0.05);护理后观察组的焦虑评分(38.26±5.12)分和抑郁评分(39.74±4.31)分低于对照组的(45.28±5.38)分和(44.37±5.12)分(P<0.05);观察组患者的心脏不良事件发生率(8.70%)低于对照组(26.09%)(P<0.05);观察组相关住院指标优于对照组(P<0.05);观察组护理满意度为93.48%(43/46),显著高于对照组的78.26%(36/46)。结论 对急性心肌梗死后心律失常患者实施循证护理可有效缓解患者的负性情绪,降低心脏不良事件发生风险,改善生活质量,提高满意度,促进患者早日康复。Objective To explore the effect of evidence-based nursing on patients with arrhythmia after acute myocardial infarction. Methods All 92 patients with arrhythmia after acute myocardial infarction were selected and divided into two groups by yellow green double color ball method. The control group was treated with routine nursing and the observation group was treated with evidence-based nursing. The changes of adverse psychological emotions and the occurrence of adverse cardiac events before and after nursing were compared between the two groups.Results There was no significant difference in anxiety score(59.48±7.15) and depression score(57.31±8.29) between the observation group and the control group(59.72±7.26) and(57.63±8.47)(P>0.05). After nursing, the scores of anxiety(38.26±5.12) and depression(39.74±4.31)in the observation group were lower than those in the control group(45.28±5.38) and(44.37±5.12)(P<0.05). The incidence of adverse cardiac events in the observation group(8.70%) was lower than that in the control group(26.09%)(P<0.05). The related hospitalization indexes in the observation group were better than those in the control group(P<0.05). The nursing satisfaction in the observation group was 93.48%(43/46),which was significantly higher than 78.26%(36/46) in the control group. Conclusion Evidence based nursing for patients with arrhythmia after acute myocardial infarction can effectively alleviate their negative emotions, reduce the risk of adverse cardiac events, improve their quality of life,improve their satisfaction and promote their early recovery.

关 键 词：循证护理 急性心肌梗死 心律失常 满意度 住院时间 生活质量 负性情绪 

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