急性心肌梗死后心律失常的发生时间及护理

Occurrence time of arrhythmia post acute myocardial infarction and effect of evidence-based nursing

目的 探讨急性心肌梗死后心律失常发生的时间及循证护理的临床效果。方法 随机选取2012年1月～2014年12月期间我院收治的急性心肌梗死患者120例作为研究对象,按照患者就诊时间先后,分为观察组与对照组,每组60例,分别给予循证护理、常规护理,统计急性心肌梗死后心律失常发生时间、比较两组护理效果。结果 急性心肌梗死后心律失常多发于5：00～16：00,少发于17：00～4：00;观察组护理满意度,显著高于对照组,差异显著（P〈0.05）;观察组患者住院时间、复窦率均优于对照组,差异具有统计学意义（P〈0.05）。结论 急性心肌梗死后心律失常好发于凌晨5：00～16：00,少发于17：00～凌晨4：00,给予患者循证护理,可缩短住院时间,降低复窦率,值得在临床护理中推广应用。

Objective To investigate the occurrence time of arrhythmia after acute myocardial infarction （AMI） and the clinical effect of evidence-based nursing （EBN）. Methods A total of 120 AMI patients admitted to our hospital from January 2012 to December 2014 were randomly selected and the patients were equally divided into observation group given EBN and control group given conventional nursing. The occurrence time of arrhythmia post AMI was recorded and statistically analyzed. The effect of nursing was compared between the two groups. Results The arrhythmia post AMI occurred most frequently between 5：00 and 16：00 and less frequently between 17：00 and 4：00. The observation group had a significantly higher degree of satisfaction with nursing compared with the control group （P〈0.05）. And the observation group had a significantly shorter length of hospital stay and a significantly lower recurrence rate （P〈0.05）. Conclusion The arrhythmia post AMI most frequently occurs between 5：00 and 16：00 and less frequently between 17： 00 and 4：00. EBN can shorten the length of hospital stay and decrease the recurrence rate, so it is worthy of promotion and application in clinical nursing.