急性心肌梗死护理中应用循证护理的效果分析

Analysis of Application Effect of Evidence-based Nursing in the Nursing of Acute Myocardial Infarction

目的探析急性心肌梗死中应用循证护理的临床效果。方法选取该院在2016年1月—2017年12月期间收治的80例急性心肌梗死患者,将其随机分为两组,其中对照组40例实施常规护理,观察组40例进行循证护理。比较两组患者的住院时间、住院费用、护理满意率和护理效果即心律失常发生率、抢救成功率。结果观察组患者住院时间(19.7±3.1)d、住院费用(5 527.1±644.3)元显著少于对照组(33.1±5.0)d、(7 120.4±658.9)元,差异有统计这意义(t=5.021, 18.357,P<0.05);观察组患者护理满意率95.0%显著高于对照组30.0%,差异有统计学意义(χ~2=8.361,P<0.05);对照组心律失常发生率32.5%明显高于观察组2.5%,抢救成功率72.5%显著低于观察组100.0%,差异有统计学意义(χ~2=14.107、2.039,P<0.05)。结论急性心肌梗死中应用循证护理的临床效果显著,减少患者住院时间,提高患者护理满意度和护理效果,帮助患者早日康复,值得临床推广应用。

Objective To analyze the application effect of evidence-based nursing in the nursing of acute myocardial infarction. Methods 80 cases of patients with acute myocardial infarction admitted and treated in our hospital from January 2016 to December 2017 were selected and randomly divided into two groups with 40 cases in each, the control group used the routine nursing, while the observation group used the evidence-based nursing, and the length of stay,hospitalization cost, nursing satisfactory rate and nursing effect such as the incidence rate of arrhythmia and rescue successful rate were compared between the two groups. Results The length of stay and hospitalization cost in the observation group were obviously lower than those in the control group [（19.7 ±3.1）d,（5 527.1 ±644.3）yuan vs（33.1 ±5.0）d,（7 120.4±658.9）yuan], and the differences were obvious（t=5.021, 18.357, P0.05）, with statistical significance, and the nursing satisfactory rate in the observation group was obviously higher than that in the control group（95.0% vs 30.0%）,and the difference was obvious（χ~2=8.361, P0.05）, with statistical significance, and the incidence rate of arrhythmia in the control group was obviously higher than that in the observation group（32.5% vs 2.5%）, and the rescue successful rate was obviously lower than that in the observation group（72.5% vs 100.0%）, and the difference was obvious, with statistical significance（χ2=14.107, 2.039,P0.05）. Conclusion The clinical effect of evidence-based nursing in acute myocardial infarction is obvious, which can reduce the length of stay and improve the nursing satisfactory degree and nursing effect, help patients recover as early as possible, and it is worth clinical promotion and application.