循证护理对重症监护病房急性心肌梗死患者生活质量改善的评价

Evaluation of Evidence-based Nursing on the Improvement of Quality of Life in Patients with Acute Myocardial Infarction in Intensive Care Unit

目的评价循证护理对重症监护病房急性心肌梗死患者生活质量的改善作用。方法随机选取2018年6月—2019年2月收治的50例重症监护病房急性心肌梗死患者,随机数字表法分组:对照组与观察组各25例,对照组实施常规护理,观察组予以循证护理。对两组的疼痛缓解时间、住院时间、生活质量评分(躯体功能、心理功能、社会功能、人际关系)、心理变化、护理总满意率和并发症发生率进行指标对比。结果观察组的疼痛缓解时间、住院时间指标均短于对照组,差异有统计学意义(t=9.150、8.010,P<0.001);观察组干预后的生活质量评分(躯体功能、心理功能、社会功能、人际关系)、心理变化(HAMA、HAMD)和护理总满意率指标均更高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(8.00%)低于对照组(36.00%),差异有统计学意义(χ^(2)=5.711,P=0.017)。结论循证护理能够改善重症监护病房急性心肌梗死患者的生活质量水平,可以缩短患者的疼痛缓解时间与住院时长,且患者对该种护理模式满意。

Objective To evaluate the effect of evidence-based nursing on the quality of life of patients with acute myocardial infarction in intensive care unit.Methods Fifty patients with acute myocardial infarction admitted to the intensive care unit from June 2018 to February 2019 were randomly selected and randomly divided into groups,25 cases in the control group and 25 in the observation group.Among them,the control group received routine nursing,and the observation group received evidence-based nursing.The pain relief time,hospital stay,quality of life scores(physical function,psychological function,social function,interpersonal relationship),psychological changes,total nursing satisfaction rate and complication rate were compared between the two groups.Results The pain relief time and hospital stay in the observation group were shorter than those in the control group,the difference was statistically significant(t=9.150,8.010,P<0.001);and the quality of life scores(physical function,psychological function,social function,interpersonal relationship),psychological changes(HAMA,HAMD)and total nursing satisfaction rate indicators in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05);the incidence of complications in the observation group(8.00%)was much lower than that in the control group(36.00%),the difference was statistically significant(χ^(2)=5.711,P=0.017).Conclusion Evidence-based nursing can improve the quality of life of patients with acute myocardial infarction in the intensive care unit,and can shorten the pain relief time and hospitalization time of patients,and the patients are satisfied with this nursing mode.