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目的探讨老年急性心肌梗死合并心力衰竭患者的有效护理措施。方法 40例老年心肌梗死合并心力衰竭患者,采用数字随机法分为观察组和对照组,每组20例。对照组仅给予常规护理,观察组实施优质护理。观察比较两组患者的病死率、住院时间、患者/家属对护理服务的满意度及生活质量评分。结果观察组患者的病死率为0;对照组患者的病死率为20.00%;观察组病死率低于对照组(χ2=4.44,P<0.05)。观察组患者的住院时间(14.0±3.1)d,对照组患者的住院时间(17.3±2.9)d;观察组住院时间短于对照组,差异具有统计学意义(t=3.4766,P=0.0013<0.05)。观察组患者/家属对护理服务总满意率95.00%;对照组患者/家属对护理服务总满意率70.00%;观察组患者/家属的满意度高于对照组(χ2=4.3290,P<0.05)。观察组患者的生活质量评分为(84.9±3.5)分,对照组患者的生活质量评分为(75.2±4.9)分;观察组患者的生活质量评分高于对照组,差异具有统计学意义(t=7.2040,P=0.0000<0.05)。结论对老年急性心肌梗死合并心力衰竭患者实施优质护理,能够降低患者的死亡率,减少住院时间,并提升患者和家属对护理服务的满意度,值得借鉴。
Objective To explore the effective nursing measures of elderly patients with acute myocardial infarction complicated with heart failure. Methods Forty elderly patients with myocardial infarction complicated with heart failure were randomly divided into observation group and control group, with 20 cases in each group. Control group was given only routine care, observation group implementation of quality care. Mortality, hospital stay, and patient / family satisfaction with care and quality of life scores were compared between the two groups. Results The case fatality rate was 0 in the observation group. The case fatality rate in the control group was 20.00%. The mortality in the observation group was lower than that in the control group (χ2 = 4.44, P <0.05). The length of hospital stay in the observation group was 14.0 ± 3.1 days and that in the control group was 17.3 ± 2.9 days. The length of stay in the observation group was shorter than that in the control group (t = 3.4766, P = 0.0013 <0.05) ). The total satisfaction rate of nursing service in the observation group was 95.00%. The satisfaction rate of the nursing service in the control group was 70.00%. The satisfaction of patients in the observation group was higher than that of the control group (χ2 = 4.3290, P <0.05). The quality of life score of the observation group was (84.9 ± 3.5) points and that of the control group was (75.2 ± 4.9) points. The quality of life score of the observation group was higher than that of the control group (t = 7.2040, P = 0.0000 <0.05). Conclusions The implementation of quality nursing care for elderly patients with acute myocardial infarction complicated with heart failure can reduce the patient’s mortality rate, reduce the length of hospital stay and enhance the patient and family members’ satisfaction with nursing services.