摘要
目的探讨以循证护理对于对心肌梗死患者并发心力衰竭患者的护理效果以及对患者恢复的作用。方法纳入2018年1月至2019年1月大连市中心医院接诊的心肌梗死患者并发心力衰竭患者64例,按照护理路径的不同,分成采用常规护理路径的对照组,以及采用基于循证医学的心理护理路径的试验组,两组患者人数相同。比较两组患者治疗后SAS及SDS的改变情况,并比较组间患者抢救成功率,住院时间,抢救时间及并发症的发生差异。结果试验组患者急诊的时间、住院时间(22.54±2.66)min、(15.66±1.22)d均低于对照组患者,试验组抢救成功率(84.38%)高于对照组,试验组并发症发生率(12.50%)低于对照组,差异性存在统计学意义(P<0.05)。试验组的SAS评分和SDS评分(32.11±3.11)分、(33.19±3.05)分均低于对照组,差异性存在统计学意义(P<0.05)。结论心肌梗死患者并发心力衰竭提供循证护理可以有效地改善患者的精神状况,提高抢救成功率,缩短住院期,增加患者的满意度,具有较高的应用价值。
Objective To explore the effect of evidence-based nursing on patients with myocardial infarction complicated with heart failure and the recovery of patients.Methods A total of 64 patients with myocardial infarction complicated with heart failure admitted to Dalian Central Hospital from January 2018 to January 2019 were included.According to the different nursing pathways,they were divided into a control group using a conventional nursing pathway,and in the experimental group based on the psychological nursing pathway of evidence-based medicine,the number of patients in the two groups was the same.The changes of SAS and SDS after treatment were compared between the two groups of patients,and the success rate of rescue,hospital stay,rescue time and complications between the groups were compared.Results The emergency time,hospital stay time(22.54±2.66)min and(15.66±1.22)d of the experimental group were lower than those of the control group,the rescue success rate of the experimental group(84.38%)was higher than that of the control group,and the complication rate of the experimental group(12.50%)was lower than that of the control group(P<0.05).The differences were statistically significant.The SAS score and SDS score of the experimental group were(32.11±3.11)and(33.19±3.05)lower than those of the control group(P<0.05),and the differences were statistically significant.Conclusion Providing evidence-based nursing for patients with myocardial infarction complicated with heart failure can effectively improve the patient's mental state,improve the success rate of rescue,shorten the hospitalization period,increase the satisfaction of patients,and has a high application value.
作者
李贺立
LI Heli(Dalian Central Hospital,Dalian 116000,China)
出处
《中国医药指南》
2022年第18期164-166,170,共4页
Guide of China Medicine
关键词
急性心肌梗死
心力衰竭
循证护理
术后康复
临床疗效
急救效率
Acute myocardial infarction
Heart failure
Evidence-based nursing
Postoperative rehabilitation
Clinical efficacy
First aid efficiency
