循证护理应用于心肌梗死并发心力衰竭患者的价值

Value of Evidence-based Nursing for Patients with Myocardial Infarction Complicated with Heart Failure

目的探究循证护理应用于心肌梗死并发心力衰竭患者的价值。方法抽取我院接收的72例心肌梗死并发心力衰竭患者的临床资料进行分析,将先入院的36例患者设为对照组并给予常规护理,将后入院的36例患者设为研究组并给予循证护理,对比两组患者的护理结果。结果研究组患者胸痛症状缓解时间、血清心肌酶水平恢复正常时间及住院时间均短于对照组,两组对比差异显著(P <0.05);研究组患者存活率94.40%、血管再灌注成功率91.70%,分别高于对照组患者存活率(77.80%)、血管再灌注成功率(75.00%);研究组患者再次住院率为11.10%、心力衰竭复发率为13.90%,低于对照组(33.30%、30.60%),两组比较有显著差异(P <0.05);研究组患者的生活质量评分为(92.10±7.20)分,对照组患者的生活质量评分为(74.20±8.70)分,两组对比差异显著(P <0.05)。结论循证护理用于心肌梗死并发心力衰竭患者后,效果显著,在临床辅助抢救中起到重要的作用,不仅能提高患者的生活质量和疾病好转率,还能维持和谐的护患关系,可以应用于临床。

Objective To explore the value of evidence-based nursing in patients with myocardial infarction complicated with heart failure.Methods The clinical data of 72 patients with myocardial infarction complicated with heart failure were collected.The 36 patients(control group)who were admitted to the hospital were given the routine nursing care,and 36 patients(study group)were admitted to the hospital for evidence-based nursing.Results The recovery time of chest pain symptoms and the recovery time of serum myocardial enzymes in the study group were shorter than those in the control group.The hospitalization time of the study group was shorter than that of the control group.The survival rate of the study group was 94.40%,the success rate of blood vessel reperfusion was 91.70%higher than that of the control group(77.80%,75.00%),the study group re-hospitalization rate was 11.10%,the heart failure recurrence rate was 13.90%lower than the control group(33.30%,30.60%);the study group quality of life score(92.10±7.20)points was higher than the control group[(74.20±8.70)points].The diff erence between the two groups was signifi cant(P<0.05).Conclusion Evidence-based nursing is effective in patients with myocardial infarction complicated with heart failure,and plays an important role in clinical assisted rescue.