循证护理在心肌梗死患者并发心力衰竭护理中应用体会.docVIP

循证护理在心肌梗死患者并发心力衰竭护理中应用体会 　　[摘要]目的 观察运用循证护理方式在降低心肌梗死患者心力衰竭出现比例和提高专项护理满意度中的实践效果。方法 选择2013年2月～2015年2月收治于我院的急性心肌梗死患者198例做为研究对象，随机分为试验组（99例）和对照组（99例）。对照组仅施以急性心肌梗死传统护理，试验组则施以循证护理干预，比较两组接受不同护理干预模式后各项观察指标的差异性。 结果 试验组干预后的心力衰竭出现比例显著低于对照组，而其对急性心肌梗死专项护理服务的满意度则显著高于对照组（P0.05）。 结论 运用循证护理模式对急性心肌梗死住院病例实施专项护理，有利于降低该类患者出现心力衰竭的可能性，提高该类护理对象对急性心肌梗死专项护理服务的满意度，极具临床推广意义。 　　[关键词] 循证护理；心肌梗死；心力衰竭 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2015）21-0150-03 　　[Abstract] Objective To investigate the application of evidence-based nursing on reducing heart failure in patients with acute myocardial infarction and improve nursing satisfaction in practice effect. Methods Selected 198 cases acute myocardial infarction patients from February 2013 to February 2015 in our hospital as research objects，they were randomly divided into experimental group（99 cases） and control group（99 cases）， control group only was treated with the conventional nursing care of acute myocardial infarction， experimental group received evidence-based nursing intervention， two groups indicators differences after receiving different nursing intervention model were compared. Results Experimental groups heart failure rate was significantly lower than the control group after the intervention， and the degree of satisfaction to the nursing service projects of acute myocardial infarction was significantly higher than control group（P0.05）. Conclusion Evidence-based nursing mode can reduce the possibility of severe complications of heart failure on acute myocardial infarction patients，it can improve the degree of satisfaction to the nursing service of special nursing subjects with acute myocardial infarction and has obvious clinical significance. 　　[Key words] Evidence-based nursing； Myocardial infarction； Heart failure 　　急性心肌梗死作为内科常见急危重症，常会并发多种严重并发症，心力衰竭就是其中一种发生率较高的并发症类型；研究表明，有五分之一的急性心肌梗死患者并发心力衰竭，患者一旦并发心力衰竭，则死亡率极高，即使能够存活，预后质量也极差[1]。故而在对急性心肌梗死患者施以积极临床救治的同时，探索科学适宜的护理配合方式，以便通过对该类患者全面科学的照护而有效降低心力衰竭出现可能性，对于急性心肌梗死患者的临床疗效和预后均极为必要。循证护理是衍生