孙丽娜

循证护理对急性心肌梗死后心律失常患者的影响分析

孙丽娜

【摘要】目的 对急性心肌梗死后心律失常患者应用循证护理的效果及影响进行分析研究。方法 选取于2014年1月～2016年1月在我院接受治疗的急性心肌梗死后心律失常患者106例，并随机分为对照组和实验组各53例，对分别应用常规护理和循证护理的效果进行对照研究。结果 实验组患者的心律失常发生率低于对照组［15.09% vs. 56.60%］，健康知识达标率、护理满意度均高于对照组（90.57%、94.34% vs. 71.70%、75.47%），卧床时间、住院时间、住院花费均优于对照组，组间差异有统计学意义（P＜0.05）。结论 急性心肌梗死后心律失常患者应用循证护理的效果十分理想。

【关键词】循证护理；急性心肌梗死；心律失常

Objective Evidence-based nursing effect and its influence on patients of acute myocardial infarction complicated with arrhythmia are to be analyzed and studied. Methods Chose 106 patients of acute myocardial infarction complicated with arrhythmia that were treated in hospital from January 2014 to January 2016 and separated them into control group and study group randomly with 53 patients in each group，and then observed and compared conventional nursing effect to evidence-based nursing effect between two groups. Results Patients' arrhythmia incidence in study group was much lower than that in control group （15.09% vs. 56.60%），and patients' knowledge standard-obtained rate and satisfaction rate in study group were much higher than counterparts in control group（90.57%、94.34% vs. 71.70%、75.47%），besides，patients' bedridden time，hospitalization time and cost in study group were more favorable than those in control group，there was a differential between two groups and such a differential had statistic value （P＜0.05）. Conclusion Evidence-based nursing is quite effective for patients of acute myocardial infarction complicated with arrhythmia.

【Key words】 Evidence-based nursing，Acute myocardial infarction，Arrhythmia

急性心肌梗死是临床上一种以起病急、变化快、预后差等为主要的临床特点的直接威胁着患者的健康乃至生命安全的冠状动脉粥样硬化性心脏病严重类型的一种，经常会导致患者出现心脏猝死等严重后果，同时该病会并发心率失常，增加了治疗难度［1-2］。本院将循证护理应用于我院收治的急性心肌梗死后心律失常患者中，效果明显，现报道如下。

1 资料和方法

1.1 一般资料

选取于2014年1月～2016年1月在符合相关临床诊断标准［3］并且我院接受治疗的急性心肌梗死后心律失常患者106例，其中男性患者和女性患者分别为56例和50例；年龄41～78岁，平均年龄（61.95±5.95）岁；梗死部位：41例患者的梗死位置为前壁，27例患者的梗死位置为下壁，22例患者的梗死位置为侧下壁，16例患者的梗死位置为后下壁。……