循证护理在心肌梗死并发心力衰竭患者护理中的效果

Effect of Evidence-based Nursing in Nursing Care of Patients with Myocardial Infarction Complicated with Heart Failure

目的 探讨循证护理对心肌梗死并发心力衰竭患者的影响。方法 将我院2018年12月至2020年12月收治的98例心肌梗死并发心力衰竭患者,以双盲随机法分两组。常规组给予常规护理,循证护理组实施循证护理。比较两组护理前后纽约心功能分级、左心室射血分数、满意度、住院时间。结果 护理前,循证护理组与常规组纽约心功能分级对照,差异无统计学意义(P>0.05);护理后,循证护理组与常规组纽约心功能分级均有所改善,与治疗前相比分值均有所降低,差异有统计学意义(P<0.05),虽然经过护理,纽约心功能分级有所改善,但常规组纽约心功能分级较高、循证护理组纽约心功能分级较低,差异有统计学意义(P<0.05)。护理前,循证护理组与常规组左心室射血分数对照,差异无统计学意义(P>0.05);护理后,循证护理组与常规组左心室射血分数均有所改善,与治疗前相比分值均有所提高,差异有统计学意义(P<0.05),虽然经过护理,左心室射血分数有所改善,但循证护理组左心室射血分数明显高于常规组,差异有统计学意义(P<0.05)。循证护理组与常规组护理满意度对照,前者较高、后者低,两组差异有统计学意义(P<0.05)。循证护理组与常规组住院时间对照,前者较短后者较长,两组差异有统计学意义(P<0.05)。结论 心肌梗死并发心力衰竭患者实施循证护理效果确切,可有效改善患者心功能和缩短住院时间,提高满意度。

Objective To explore the effect of evidence-based nursing on patients with myocardial infarction complicated with heart failure.Methods A total of 98 patients with myocardial infarction complicated with heart failure in our hospital from December 2018 to December 2020were randomly divided into two groups. The routine group was given routine nursing, and the evidence-based nursing group was given evidencebased nursing. The cardiac function grade, left ventricular ejection fraction, satisfaction rate and length of hospital stay were compared between the two groups before and after nursing. Results Before nursing, there was no significant difference between evidence-based nursing group and routine group(P>0.05). After nursing, the New York heart function classification of the evidence-based nursing group and the routine group were improved, and the scores were lower than those before treatment(P<0.05). Although the New York heart function classification was improved after nursing, the New York heart function Classification of the routine group was higher and the New York heart function classification of the evidencebased nursing group was lower(P<0.05). Before nursing, there was no significant difference in left ventricular ejection fraction between evidencebased nursing group and routine group(P>0.05). After nursing, the left ventricular ejection fraction of the evidence-based nursing group and the routine group were improved, and the scores were improved compared with those before treatment(P<0.05). Although the left ventricular ejection fraction was improved after nursing, the left ventricular ejection fraction of the evidence-based nursing group was significantly higher than that of the routine group(P<0.05). The nursing satisfaction rate of evidence-based nursing group was higher than that of routine group, and the latter was lower, there was significant difference between the two groups(P<0.05). The length of stay in evidence-based nursing group was shorter than that in routine group, and the latter was longer. There was significant difference between the two groups(P<0.05). Conclusion The effect of evidencebased nursing in patients with myocardial infarction complicated with heart failure is accurate, which can effectively improve patients’ cardiac function, shorten hospital stay and improve satisfaction.