循证护理在老年患者急性心肌梗死介入治疗的应用

Application of evidence-based nursing in treatment of acute myocardial infarction in elderly patients

①目的探讨老年患者急性心肌梗死介入治疗术后采用循证护理预防出血并发症的效果。②方法选取2012年1～12月因急性心肌梗死接受急诊介入治疗的老年患者184例,随机分为对照组和循证组各92例。对照组实施常规护理,循证组给予循证护理,观察两组发生出血并发症的情况。③结果急性心肌梗死接受急诊介入治疗的老年患者,应用循证护理进行干预,降低了患者术区出血、血肿,腹部皮下出血、硬结,消化道出血及泌尿系出血的发生例数,与对照组比较差异有统计学意义（P〈0.05）。④结论老年患者急诊介入治疗术后,应用循证护理能有效预防出血事件的发生,提高医疗护理质量,改善患者生活质量。

Objective To disscuse the effect of evidence-based nursing to prevent bleeding complications for elderly patients of acute myocardial infaretion with interventional treatment.Methods Selecting January 2012-December 2012 emergency interventional therapy for acute myocardial infarction of 184 cases of elderly patients and 92 cases were randomly divided into control group and the other 92 cases were evidence--based group. The control group was routine nursing, the evidence-based group was given evidence--based nursing, observing two groups of patients bleeding complications.Results Elderly patients of acute myocardial infarction emergency with interventional therapy applicating of evidence- based nursing intervention,with recuced subcutaneous bleeding and hematoma, abdominal subcutaneous bleeding and induration, gastrointestinal bleeding and urinary tract hemorrhage cases, the differences with the control group was statistically significant（ P 〈0.05）.Conclusion Elderly patients with emergency interventional therapy applicating of evidence-based nursing can effectively reduce the incidence of bleeding events,improve the quality of medical care,improve patients qualily of life.