急性心肌梗死后心律失常的循证护理应用与临床护理学研究

Evidence-based Nursing Application and Clinical Nursing Study of Arrhythmia after Acute Myocardial Infarction

目的研究分析循证护理在急性心肌梗死后心律失常患者中的应用效果,以期促进患者尽快康复。方法将符合WHO急性心肌梗死后心律失常标准的患者240例,随机分为循证护理组和常规护理组,各120例,常规护理组实施常规护理,循证护理组在常规护理的基础上实施循证护理措施。比较两组患者的治疗效果。结果循证护理组心律失常发生率、心功能Ⅳ级比例、平均住院时间、平均卧床时间以及平均住院费用均低于常规护理组,健康知识达标率、心功能Ⅰ级比例以及满意度高于常规护理组,差异均有显著性(P<0.05)。结论循证护理可有效降低急性心肌梗死后心律失常的发生,提高患者满意度,促进患者尽快康复。

Objective To study the application effect of evidence-based nursing in patients with arrhythmia after acute myocardial infarction,in order to promote the recovery of patients as soon as possible.Methods Two hundred and forty patients with arrhythmia after acute myocardial infarction were randomly divided into evidence-based nursing group and routine nursing group,120 cases in each group.The routine nursing group implements routine nursing,and the evidence-based nursing group implements evidence-based nursing measures on the basis of routine nursing.The therapeutic effects of the two groups were compared.Results The incidence of arrhythmia,heart function gradeⅣ,average hospitalization time,average bedtime,and average hospitalization expenses in the evidence-based nursing group were lower than those in the conventional nursing group,while the rate of compliance with health knowledge,heart function levelⅠand satisfaction were higher than those in the conventional nursing group.The differences were all significant(P<0.05).Conclusion Evidence-based nursing can effectively reduce the occurrence of arrhythmia after acute myocardial infarction,improve patient satisfaction,and promote the recovery of patients as soon as possible.