循证护理在急性心肌梗死并发心律失常护理中应用价值分析.docVIP

循证护理在急性心肌梗死并发心律失常护理中应用价值分析 　　[摘要] 目的 探?急性心肌梗死并发心律失常患者行循证护理模式的效果，评定临床应用价值。 方法 选取本院2015年2月～2016年2月期间所收治的急性心肌梗死并发心律失常患者60例。依据随机数字表法的分组形式将其分为实验组和对照组，各30例。两组患者均行基础护理模式，在此基础上，实验组患者给予行循证护理模式，对比两组患者的住院时间、休息时间、心律失常发生率以及满意度等指标。 结果 实验组的卧床休息时间（2.95±0.75）d、住院时间（11.08±1.04）d，短于对照组（3.55±0.60）d、（13.02±2.10）d，组间比较差异统计学意义（t=3.4215、4.5343，P0.05）；实验组心律失常发生率为16.7%，少于对照组的60.0%，差异有统计学意义。实验组总满意率为93.3%，显著优于对照组73.3%，组间比较差异统计学意义（χ2=4.3200，P0.05）。 结论 将循证护理模式应用于急性心肌梗死并发心律失常患者中，能够有效提升患者的满意度，同时降低并发症发生率，值得临床进一步应用和探索。 　　[关键词] 急性心肌梗死；心律失常；循证护理模式；效果分析 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）27-0141-03 　　Analysis on the application value of evidence-based nursing in the nursing of acute myocardial infarction complicated with arrhythmia 　　ZHENG Huimin 　　Department of Internal Medicine， Heze Third Peoples Hospital in Shandong Province， Heze 274000， China 　　[Abstract] Objective To analyze the effect of evidence-based nursing model in the patients with acute myocardial infarction complicated with arrhythmia and to evaluate the clinical application value. Methods 60 patients with acute myocardial infarction complicated with arrhythmia who were admitted to our hospital from February 2015 to February 2016 were selected. According to the random number table method， the patients were evenly divided into experimental group and control group， with 30 patients in each group. Both groups of patients were given basic nursing model. On this basis， the experimental group was further given evidence-based nursing model. Indicators including length of hospital stay， rest time， incidence rate of arrhythmia and satisfaction were compared between the two groups. Results The rest time was（2.95±0.75） d， length of hospital stay was（11.08±1.04） d in the experimental group， which were shorter than those of （3.55±0.60） d and （13.02±2.10）d in the control group. The difference between groups was statistically significant （t=3.4215， 4.5343， P 　　[Key words] Acute myocardial infarction； Arrhythmia； Evidence-based nu