循证护理联合个体化心理护理应用于急性心肌梗死患者的临床效果观察

Clinical Effect of Evidence-based Nursing combined with Individualized Psychological Nursing on Patients with Acute Myocardial Infarction

目的观察循证护理联合个体化心理护理应用于急性心肌梗死患者的临床效果分析。方法将我院(2018年1月至2018年10月)收治急性心肌梗死71例患者,以常规护理干预为对照组。2018年11月我科开展循证护理联合个体化心理护理,针对(2018年11月至2019年10月)收治另74例急性心肌梗死患者为实验组。对照两组患者睡眠质量、住院期间并发症发生率、住院时间及患者对护理的满意度评价。结果两组患者护理干预前的PSQI各项评分(P>0.05)。干预后两组患者各项PSQI各项评分均有所下降,实验组PSQI各项评分低于对照组(P<0.001)。实验组1.35%患者住院期间发生并发症,明显低于对照组9.86%患者住院期间发生并发症,且实验组患者住院时间少于对照组,差异具有统计学意义(P<0.05)。实验组100.00%患者对护理总满意,明显高于对照组94.37%患者对护理总满意,差异具有统计学意义(P<0.05)。结论在急性心肌梗死患者护理中,以循证护理联合个体化心理护理干预,可明显提升患者睡眠质量,降低住院期间并发症的发生,缩短住院时间,提高患者对护理的满意率,效果理想。

Objective To observe the clinical effect of evidence-based nursing combined with individual psychological nursing in patients with acute myocardial infarction. Methods 71 patients with acute myocardial infarction were admitted to our hospital(January 2018-October 2018), and routine nursing intervention was used as the control group. In November 2018, our department carried out evidence-based nursing combined with individualized psychological care, and targeted(74 November 2018-October 2019) another 74 patients with acute myocardial infarction as the experimental group. The two groups were compared for the evaluation of sleep quality, the incidence of complications during hospitalization, the length of hospitalization, and the satisfaction of patients with care. Results PSQI scores before nursing intervention in two groups of patients(P>0.05). After the intervention, the PSQI scores of the two groups decreased, and the PSQI scores of the experimental group were lower than those of the control group(P<0.001). Complications occurred in 1.35% of patients in the experimental group during hospitalization, which was significantly lower than that in the control group of 9.86%. Complications occurred during hospitalization in the experimental group, and the length of hospitalization in the experimental group was shorter than that in the control group, the difference was statistically significant(P<0.05). 100.00% of the patients in the experimental group were satisfied with the nursing care, which was significantly higher than that of the control group, 94.37% of the patients were satisfied with the nursing care, the difference was statistically significant(P<0.05). Conclusion In the nursing of patients with acute myocardial infarction, evidence-based nursing combined with individual psychological nursing intervention can significantly improve the sleep quality of patients, reduce the incidence of complications during hospitalization, shorten the length of hospitalization, improve the satisfaction rate of patients with nursing, and the effect is ideal.