循证护理模式对老年急性心肌梗死并发心律失常生活质量和护理满意度的影响

The Effect of Evidence-based Nursing Model on the Quality of Life and Nursing Satisfaction of Elderly Patients with Acute Myocardial Infarction Complicated by Arrhythmia

目的探讨老年急性心肌梗死并发心律失常患者采用循证护理干预后对生活质量和护理满意度的改善作用。方法方便选择2019年3月—2020年3月医院收治的急性心肌梗死并发心律失常的80例患者分为两组各40例,对照组采用常规护理,观察组采用循证护理,观察两组患者的圣·乔治医院呼吸问题调查问题(the St George’s respiratory questionnaire,SGRQ)调查量表评分,并观察两组患者的护理满意度。结果干预前对照组和观察组的活动评分、症状评分、生活影响评分和总评分对比,差异无统计学意义(P>0.05),经护理干预后两组患者的评分对比干预前出现上升,差异有统计学意义(P<0.05),观察组干预后的各项评分较对照组升高,差异有统计学意义(P<0.05)。对照组和观察组的护理满意度分别为72.50%和92.50%,观察组护理满意度显著高于对照组,差异有统计学意义(χ^(2)=5.541,P<0.05)。结论老年急性心肌梗死并发心律失常患者采用循证护理干预可有效的提高患者的生活质量,改善了护患关系,提高了护理满意度。

Objective To investigate the effect of evidence-based nursing intervention on the quality of life and nursing satisfaction in elderly patients with acute myocardial infarction complicated by arrhythmia.Methods A total of 80 patients with patients myocardial infarction complicated with arrhythmia to the hospital in March 2019 to March 2020 were conveniently selected and divided into two groups with 40 cases in each group.The control group received routine care and the observation group received evidence-based care.The St George's respiratory questionnaire(SGRQ)score and the care satisfaction of the two groups of patients was observed.Results There was not statistically significant difference between the control group and the observation group in activity scores,symptom scores,life impact scores,and total scores before intervention(P>0.05).After nursing intervention,the scores of the two groups of patients increased compared to before intervention,the difference was statistically significant(P<0.05),the scores of the observation group after intervention were higher than those of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the control group and the observation group were 72.50%and 92.50%,respectively.The nursing satisfaction of the observation group was significantly higher than that of the control group,the difference was statistically significant(χ^(2)=5.541,P<0.05).Conclusion The use of evidence-based nursing intervention in elderly patients with acute myocardial infarction and arrhythmia can effectively improve the quality of life of patients,improve the relationship between nurses and patients,and improve nursing satisfaction.