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目的探究循证护理用于急性心肌梗死后心律失常患者的应用价值。方法随机选取本院2013-01-2015-11收治入院的急性心肌梗死后心律失常患者72例。按照随机数字表法将其分成两组,均为36例。对照组采用传统护理模式,研究组则采用循证护理,比较两组临床疗效,并观察心功能改善情况,对比分析两组患者住院时间、卧床时间以及心律失常发生情况和护理满意度。结果研究组临床疗效优于对照组,且研究组患者的平均住院时间以及卧床时间均较对照组短,比较差异有统计学意义,P<0.05。同时研究组心功能改善情况也较对照组明显,心律失常发生率较对照组低,差异有统计学意义,P<0.05。此外研究组患者满意度较对照组高,差异有统计学意义,P<0.05。结论循证护理用于急性心肌梗死后心律失常患者临床护理中,不仅能够提高临床疗效,同时还能有效改善患者心功能,并缩短患者卧床时间和住院时间,同时还能提高患者满意度,其值得参考应用。
Objective To explore the value of evidence-based nursing for patients with arrhythmia after acute myocardial infarction. Methods Totally 72 patients with acute arrhythmia after acute myocardial infarction admitted to our hospital from January 2013 to January 2015 were enrolled. In accordance with the random number table method is divided into two groups, all 36 cases. The traditional nursing model was adopted in the control group. Evidence-based nursing was used in the study group. The clinical efficacy was compared between the two groups. The improvement of cardiac function was observed. The hospitalization time, bed rest time, arrhythmia incidence and nursing satisfaction were compared between the two groups. Results The clinical efficacy of the study group was better than that of the control group. The average length of hospital stay and the time of bed rest in the study group were shorter than those in the control group (P <0.05). At the same time, the improvement of cardiac function in the study group was also more obvious than that in the control group. The incidence of arrhythmia was lower than that in the control group, with significant difference (P <0.05). In addition, patients in the study group were more satisfied with the control group, the difference was statistically significant (P <0.05). Conclusion Evidence-based nursing for clinical nursing of patients with arrhythmia after acute myocardial infarction not only can improve the clinical curative effect, but also can effectively improve the cardiac function, shorten the time of bed rest and hospital stay, and improve the patient’s satisfaction Worth reference for the application.