循证护理在急性心肌梗死患者康复护理中的应用效果观察

Effects of evidence-based nursing on rehabilitation nursing of patients with acute myocardial infarction

目的:观察循证护理在急性心肌梗死患者康复护理中的应用效果。方法:选取116例急性心肌梗死患者作为观察对象,采用随机数字表法将其分为对照组和观察组各58例,对照组接受常规护理,观察组在对照组基础上接受循证护理。比较护理前后两组生活质量和心功能分级的变化情况,两组护理满意度、护理前后心理状态变化情况、住院康复期间并发症发生情况。结果:出院2周后,观察组SF-36各项指标评分、心功能分级情况明显优于对照组,差异有统计学意义(P<0.05);观察组护理满意度为94.83%(56/58),明显高于对照组的82.76%(48/58),差异有统计学意义(P<0.05);观察组并发症发生率为13.79%(8/58),明显低于对照组的29.31%(17/58),差异有统计学意义(P<0.05);护理后观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均明显低于对照组,差异有统计学意义(P<0.05)。结论:循证护理应用在急性心肌梗死患者康复护理中,可有助于改善患者的心脏功能,提高患者的生活质量,降低住院康复期间并发症发生率,改善患者心理状态,提升护理满意度。

Objective:To explore application effects of evidence-based nursing in rehabilitation nursing of patients with acute myocardial infarction.Methods:116patients with acute myocardial infarction were selected as the research objects and divided into control group(n=58)and observation group(n=28)by the random number method.The control group received traditional nursing,while the observation group received the evidence-based nursing based on that of the control group.The changes of quality of life score and cardiac functional grading before and after the nursing,the degree of satisfaction with the nursing care,the changes of psychological status before and after the nursing,and the occurrence of complications during hospitalization rehabilitation were analyzed and compared between the two groups.Results:2weeks after discharge,the SF-36scores and cardiac functional grading of the observation group were significantly better than those of the control group,and the differences were statistically significant(P<0.05).The patient satisfaction in the observation group was94.83%(56/58),which was significantly higher than that of the control group(82.76%,48/58),and the difference was statistically significant(P<0.05).The complication rate in the observation group(13.79%,8/58)was significantly lower than that of the control group(29.31%,17/58),and the difference was statistically significant(P<0.05).After the nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:For the patients with acute myocardial infarction,the evidence-based nursing can help improve the cardiac function,improve the quality of life of these patients,reduce the incidence of complications during hospitalization,improve the psychological state of these patients,and improve the satisfaction of nursing.