循证护理对急性心肌梗死后心律失常患者的康复影响

目的：探讨循证护理对促进急性心肌梗死后并发心律失常患者的康复效果。方法：选取本院2010年1月-2011年8月期间住院就治的90例符合WHO标准的急性心肌梗死后心律失常患者，随机平均分为两组，对照组和观察组各45例。对照组进行常规护理，观察组在实施常规护理的基础上给予指导临床护理的循证护理。比较两组患者护理后的平均卧床及住院时间、平均医疗费用、心功能分级、心律失常发生率、患者健康知识达标率以及患者满意程度等。结果：循证护理观察组患者的平均住院时间为（11.08±1.05）d、平均卧床时间为（2.98±0.76）d，平均住院费用为（5175.85±613.4）d，均明显低于常规护理对照组，观察组的心律失常发生率（12.22%）明显低于对照组，观察组健康知识达标率（95.56%）和患者满意度（95.56%）明显高于对照组，两组心功能分级比较差异均具有统计学意义（P〈0.05）。结论：急性心肌梗死后并发心律失常的患者在给予循证护理后能够降低心律失常的发生率、改善心功能、缩短康复时间、提高患者满意程度，值得在临床上广泛推广及应用。

Influence of Evidence-based Nursing on the Rehabilitation of Patients with Arrhythmia after Acute ;Myocardial Infarction

Objective：To explore the influence of evidence-based nursing on the rehabilitation of patients with acute myocardial infarction complicated with arrhythmia.Method：90 Patients with arrhythmia after acute myocardial infarction in our hospital from January 2010 to August 2011 were selected,and randomly divided into control group and observation group,each of 45 cases.The control group was given routine nursing,the observation group were given evidence-based nursing in clinical nursing based on the routine nursing care.The average time in bed and hospitalization time,medical expenses,the average grade of cardiac function,arrhythmia incidence rate,rate of health knowledge and satisfaction degree were compared.Result：The average hospitalization time of the observation group patients was（11.08± 1.05）d,the average time in bed was（2.98±0.76）d,and the average hospitalization expenses was（5175.85±613.4） days,there were significantly lower than the control group,the incidence of arrhythmia in observation group（12.22%） was significantly lower than that in the control group,the observation group health knowledge compliance rate（95.56%） and patient satisfaction（95.56%）were significantly higher than the control group,and the difference between the cardiac function of two groups of patients were statistically significant classification.Conclusion：Evidence-based nursing on patients with acute myocardial infarction complicated arrhythmia can reduce the incidence of arrhythmia,improve cardiac function,shorten the recovery time,and improve the curative effect of patient satisfaction and other very good,worthy of clinical popularization and application.