优质护理在急性心肌梗死患者中的应用

Effect of high-quality nursing in patients with acute myocardial infarction

目的 探讨优质护理在急性心肌梗死患者中的应用效果.方法 采用随机抽样法选取2016年1月—2017年1月在黑龙江省医院接受治疗的187例急性心肌梗死患者为研究对象,根据随机数字表法将其分为对照组92例和观察组92例.对照组给予常规护理,观察组给予优质护理.观察两组患者干预前后心功能、心率变异性、不良事件发生率和患者满意率的差别.结果 两组患者干预前心功能差异无统计学意义（P〉0.05）,干预后观察组SV、LVEF水平高于对照组（t值分别为-2.971、-4.957;P〈0.05）,NT-proBNP、CTnl水平低于对照组（t值分别为31.303、10.611;P〈0.05）;两组患者干预前心率变异性差异无统计学意义（P〉0.05）,干预后观察组SDNN、SDANN、RMSSD和PNN50水平优于对照组（t值分别为-6.394、-4.305、-6.109、-8.991;P〈0.001）;观察组不良事件发生率低于对照组（χ2=6.495,P=0.011）;观察组患者满意率为98.91%,高于对照组的91.58%（χ2=5.488,P=0.019）.结论 优质护理对急性心肌梗死患者有较好的护理效果,可明显降低不良心血管事件发生率,改善患者的心功能.

Objective To explore the effect of high-quality nursing care in patients with acute myocardial infarction.Methods A total of 187 patients with acute myocardial infarction who treated in Heilongjiang provincial hospital from January 2016 to January 2017 were collected into the study. The participants were randomly divided into the control group （n=92） and observation group （n=92） according to the random number table method. The control group received routine care while the observation group received high-quality care. The cardiac function, heart rate variability, adverse event rate and satisfaction rate were compared between two groups before and after the intervention.Results There were no significant differences in cardiac function and heart rate variability between two groups before the intervention （P〉0.05）. After the intervention, the observation group had significantly higher level of SV and LVEF （t=-2.971, -4.957;P〈0.05） and lower level of NT-proBNP and CTnl （t=31.303, 10.611;P〈0.05） compared with the control group. The SDNN, SDANN, RMSSD and PNN50 level in the observation group were better than those in the control group （t= -6.394, -4.305, -6.109, -8.991;P〈0.001）. Furthermore, the observation group had lower adverse event rate （χ2=6.495,P=0.011） and higher satisfaction rate （98.91% vs. 91.58%; χ2=5.488;P=0.019） compared with the control group.Conclusions High-quality nursing care can effectively reduce adverse cardiovascular events and improve the cardiac function in patients with acute myocardial infarction.