许彦华

[摘要] 目的 探討冠心病心律失常的护理干预方式及应用效果。方法 回顾2016年1月—2017年2月该院收治的84例冠心病心律失常患者，并分组。传统护理组采用常规护理干预方式，综合护理组则采取整体化护理干预方式。比较两组冠心病心律失常控制效果；心律失常完全控制时间、心电图完全恢复正常时间；干预前后患者心理状态、心室率、心脏指数；护理满意度。 结果 综合护理组冠心病心律失常控制效果39例（92.86%）高于传统护理组30例（71.43%）（χ2=6.574，P<0.05）。综合护理组心律失常完全控制时间、心电图完全恢复正常时间（2.11±0.24）、（3.23±1.61）d短于传统护理组（t=8.896、9.356，P<0.05）。干预后综合护理组心理状态、心室率、心脏指数优于传统护理组（P<0.05）。综合护理组护理满意度39例（92.86%）高于传统护理组30例（71.43%）（χ2=6.574，P<0.05）。 结论 冠心病心律失常的综合护理干预方式及应用效果确切，可有效改善患者预后，缩短疗程，促进患者护理满意度的提升，是一种理想的护理模式。

[关键词] 冠心病心律失常；护理干预方式；应用效果

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0143-03

Evaluation on Nursing Intervention Way and Application Effect of Coronary Heart Disease Arrhythmia

XU Yan-hua

Department of Medical Records， First Affiliated Hospital of Baotou Medical College， Baotou， Inner Mongolia， 014010 China

[Abstract] Objective To study the nursing intervention way and application effect of coronary heart disease arrhythmia. Methods 84 cases of patients with coronary heart disease arrhythmia admitted and treated in our hospital from January 2016 to February 2017 were selected and divided into two groups， the traditional nursing group used the routine nursing intervention way， while the comprehensive nursing group used the holistic nursing intervention way， and the control effect was compared between the two groups， and the total control time， total recovery time of cardiogram， mental state， ventriculus cordis rate， heart index of patients before and after intervention， and nursing satisfactory egree were compared between the two groups. Results The control effect in the comprehensive nursing group was higher than that in the traditional nursing group[39 cases（92.86%） vs 30 cases（71.43%）（χ2=6.574，P<0.05）]， and the total control time， recovery time of cardiogram in the comprehensive nursing group were respectively（2.11±0.24），（3.23±1.61）d， which were shorter than those in the traditional nursing group（t=8.896，9.356，P<0.05）， and the mental state， ventriculus cordis rate， and heart index in the comprehensive nursing group after intervention were better than those in the traditional nursing group（P<0.05）， and the nursing satisfactory degree in the comprehensive nursing group was higher than that in the traditional nursing group[39 cases（92.86%） vs 30 cases（71.43%）（χ2=6.574，P<0.05）]. Conclusion The comprehensive intervention way and application effect of coronary heart disease arrhythmia is definite， which can effectively improve the prognosis， shorten the treatment course， and promote the improvement of nursing satisfactory degree， which is an ideal nursing model.

[Key words] Coronary heart disease arrhythmia； Nursing intervention way； Application effect

冠心病心律失常是临床常见疾病，多发生于中老年患者中，良好的护理方法对患者预后转归有良性促进作用[1-2]。该研究回顾2016年1月—2017年2月84例冠心病心律失常患者并分组，分析了冠心病心律失常的护理干预方式及应用效果，现报道如下。

1 资料与方法

1.1 一般资料

回顾84例冠心病心律失常患者并分组。综合护理组男29例，女13例；年龄为56～88岁，平均年龄为（63.25±4.48）岁，冠心病病程为6～21年，平均病程为（12.53±1.73）年。42例患者中，室性心律失常患者20例、房性心律失常患者18例、房室传导阻滞患者3例、短阵室上速患者1例。传统护理组男28例，女14例；年龄为56～87岁，平均年龄为（63.21±4.42）岁，冠心病病程为6～21年，平均病程为（12.46±1.75）年。42例患者中，室性心律失常患者21例、房性心律失常患者17例、房室传导阻滞患者3例、短阵室上速患者1例。两组一般资料差异无统计学意义（P>0.05）。该研究经过伦理委员会批准，患者或家属知情同意。……