循证护理联合预见性护理对急性心肌梗死患者抢救成功率及预后生活质量的影响

Effect of Evidence-based Nursing Combined with Predictive Nursing on Rescue Success Rate and Prognosis Quality of Life in Patients with Acute Myocardial Infarction

目的研究循证护理联合预见性护理对急性心肌梗死(AMI)患者抢救成功率及预后生活质量的影响。方法以2020年12月-2022年12月鹰潭市人民医院接诊的60例AMI患者为研究对象,行随机数字表法分为对照组(30例)与观察组(30例)。对照组给予预见性护理,观察组则开展循证护理联合预见性护理,比较两组就诊至球囊扩张(DTB)时间、住院时间、救治效果(抢救成功率、胸痛缓解率、ST段回落率、心肌酶谱回落率)、并发症与预后生活质量。结果观察组DTB时间、住院时间均短于对照组(P<0.05)。观察组抢救成功率、胸痛缓解率、ST段回落率、心肌酶谱回落率高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。观察组生活质量优良率高于对照组(P<0.05)。结论循证护理联合预见性护理可有效缩短AMI患者的DTB时间与住院时间,提高其救治效果,降低并发症风险,有利于患者预后生活质量的改善。

Objective To study the effect of evidence-based nursing combined with predictive nursing on the rescue success rate and prognosis quality of life in patients with acute myocardial infarction(AMI).Methods A total of 60 AMI patients admitted to Yingtan People's Hospital from December 2020 to December 2022 were enrolled in the study.They were divided into control group(30 patients)and observation group(30 patients)by random number table method.The control group was given predictive nursing,while the observation group was given evidence-based nursing combined with predictive nursing.The door-to-balloon(DTB),hospitalization time,treatment effect(rescue success rate,chest pain relief rate,ST segment fall rate,myocardial enzyme spectrum fall rate),complications and prognosis quality of life were compared between the two groups.Results The DTB time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The rescue success rate,chest pain relief rate,ST segment decline rate and myocardial enzyme spectrum decline rate in the observation group were higher than those in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).The excellent rate of quality of life in the observation group was higher than that in the control group(P<0.05).Conclusion Evidence-based nursing combined with predictive nursing can effectively shorten the DTB time and hospitalization time of AMI patients,improve the treatment effect,reduce the risk of complications,and improve the quality of life of patients.