循证护理对心肌梗死并发心律失常患者抢救成功率及预后影响.docVIP

循证护理对心肌梗死并发心律失常患者抢救成功率及预后影响 　　【摘要】 目的 研究循证护理对心肌梗死（MI）并发心律失常患者抢救成功率及预后的影响。方法 82例心肌梗死并发心律失常患者， 随机分为对照组和观察组， 各41例。对照组予以常规护理干预， 观察组于对照组基础上实施循证护理护理干预。统计比较两组抢救成功率及住院时间， 并对比两组并发症发生情况。结果 干预后观察组抢救成功率97.56%（40/41）、住院时间为（24.13±5.68）d均明显优于对照组的80.49%（33/41）h和（29.67±7.68）d， 差异均有统计学意义（P0.05）；观察组并发症发生率为7.50%（3/40）， 明显低于对照组27.27%（9/33）， 差异具有统计学意义（P0.05）。结论 循证护理应用于心肌梗死并发心律失常患者， 能明显提高抢救成功率， 并改善预后效果。 　　【关键词】 心肌梗死并发心律失常；循证护理；抢救成功率；护理满意度 　　DOI：10.14163/j.cnki.11-5547/r.2017.05.076 　　Influence of evidence-based nursing on rescue success rate and prognosis in myocardial infarction complicated with arrhythmia patients YANG Shuo， SONG Xiao-mei. Department of Cardiovascular Medicine， People’s Liberation Army 463 Hospital， Shenyang 110042， China 　　【Abstract】 Objective To study the influence of evidence-based nursing on rescue success rate and prognosis in myocardial infarction （MI） complicated with arrhythmia patients. Methods A total of 82 myocardial infarction complicated with arrhythmia patients were randomly divided into control group and observation group， with 41 cases in each group. The control group received conventional nursing intervention， and the observation group received evidence-based nursing intervention on the basis of the control group. Comparison were made on rescue success rate， hospital stay time and occurrence of complications in two groups. Results After intervention， the observation group had rescue success rate as 97.56%（40/41）， hospital stay time as （24.13±5.68） d， which were obviously better than 80.49%（33/41） h and （29.67±7.68） d in the control group， and their difference had statistical significance （P0.05）. The observation group had obviously lower incidence of complications as 7.50% （3/40） than 27.27% （9/33） in the control group， and the difference had statistical significance （P0.05）. Conclusion Evidence-based nursing applied in myocardial infarction complicated with arrhythmia patients can significantly increase rescue success rate， and prognosis effect.