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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(P<0.05);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(P<0.05)。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。
Objective To study the impact of evidence-based nursing on the success rate and prognosis of rescue in patients with myocardial infarction (MI) complicated with arrhythmia. Methods 82 cases of myocardial infarction complicated with arrhythmia were randomly divided into control group and observation group, 41 cases in each group. The control group was given routine nursing intervention, the observation group was based on the control group to implement the evidence-based nursing intervention. Statistics were compared between the two groups rescue success rate and hospital stay, and compared the incidence of complications in both groups. Results After the intervention, the successful rate of rescue in the observation group was 97.56% (40/41) and the length of stay in hospital (24.13 ± 5.68) d was significantly better than that of the control group (80.49%, 33/41) and (29.67 ± 7.68) d, respectively (P <0.05). The incidence of complications in the observation group was 7.50% (3/40), which was significantly lower than that in the control group (27.27%, 9/33). The difference was statistically significant (P <0.05). Conclusion Evidence-based nursing in patients with myocardial infarction complicated by arrhythmia can significantly improve the success rate of rescue and improve prognosis.