循证护理应用于急性心肌梗死后心律失常病人中的效果评价

目的 分析并评价将循证护理应用于急性心肌梗死后心律失常病人的效果.方法 将我院自2011年12月至2013年4月期间收治的124例住院急性心肌梗死后心律失常病人随机分成观察组（循证护理组）与对照组（常规护理组）,各为62例.对照组给予常规护理措施；观察组在常规护理的前提下,实施循证护理.对比分析两组病人各心功能指标、住院时间、卧床时间、医疗费用、对健康知识的达标率以及病人满意度.结果 对照组心率失常发生率（66.13％）显著高于观察组（11.29％）,两组相比存在统计学意义（P ＜0.01）；对照组健康知识达标率（70.97％）显著低于观察组（95.16％）,两组相比差异存在统计学意义（P＜0.05）.两组病人心功能分级相比差异存在统计学意义（P＜0.05）.观察组病人的平均住院时间、平均卧床时间、平均住院费用均优于对照组,差异存在统计学意义（P＜0.05）.观察组病人的满意度显著高于对照组,两组相比差异存在统计学意义（P＜0.05）.结论 循证护理应用于急性心肌梗死后心律失常病人能够提高病人满意度,有利于病人的尽快康复.

Effect Evaluation on the Application of Evidence-Based Nursing for Acute Myocardial Infarction Patients with Arrhythmia

Objective To analyze and evaluate effect of evidence-based nursing for acute myocardial infarction patients with arrhythmia. Methods 124 cases of acute myocardial infarction patients with arrhythmia in our hospital from December 2011 to April 2013 were divided into the observation group （evidence-based care group） and the control group （usual care group）, each with 62 cases. The control group received routine care, while the observation group received evidence-based nursing on the premise of routine care. Cardiac function, hospitalization time, bed rest time, medical expenses, awareness rate of health knowledge and degree of satisfaction of the two groups were compared and analyzed. Results The incidence of arrhythmia in control group （66.13%） was significantly higher than that in the observation group （11.29%） （P〈0.01）; health knowledge awareness rate in the control group （70.97%） was significantly lower than that in the observation group （95.16%） （P〈0.05）. Two groups＇ NYHA were significantly different （P〈0.05）. In the observation group, the situation of average hospitalization time, the average bed rest time, and the average cost of hospitalization were better than those in the control group, with significant differences （P〈0.05）. Also, patient＇s degree of satisfaction was significantly higher in the observation group than in the control group （P〈0.05）. Conclusions Evidence-based nursing for acute myocardial infarction patients with arrhythmias can improve patient＇s satisfaction and help to promote recovery.