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循证护理对急性心肌梗死后心律失常患者治疗效果、心理状态及健康知晓度的影响 被引量:6

Impact of Evidence-based Nursing on Treatment Effect, Psychological State and Health Awareness in Patients with Arrhythmia after Acute Myocardial Infarction
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摘要 目的探讨循证护理对急性心肌梗死后心律失常患者治疗效果、心理状态及健康知晓度的影响。方法选取2019年2月—2020年2月在天津市北辰医院接受治疗的急性心肌梗死后心律失常患者98例,按照随机数字表法分为对照组49例和观察组49例。入院后对照组患者进行临床常规护理干预,观察组患者进行循证护理。干预1个月,比较两组患者护理效果,干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及健康知晓度。结果观察组的治疗总有效率(93.9%)高于对照组(71.4%)(P<0.05)。两组患者干预前SAS评分、SDS评分比较,差异无统计学意义(P>0.05);干预后观察组患者SAS评分、SDS评分低于对照组(P<0.05)。观察组患者健康知晓率为91.8%,高于对照组的73.4%(P<0.05)。结论循证护理能提高急性心肌梗死后心律失常患者治疗效果,改善患者心理状态,同时增强患者对健康知识的认知。 Objective To study the impact of evidence-based nursing on treatment effect,psychological state and health awareness in patients with arrhythmia after acute myocardial infarction(AMI).Methods A total of 98 patients with arrhythmia after AMI who were treated in Tianjin Beichen Hospital from February 2019 to February 2020 were selected,and they were randomly divided into control group(n=49)and observation group(n=49)acccording to random number table method.After admission,the control group received routine clinical nursing intervention,while the observation group received evidencebased nursing.The nursing effect,SAS score and SDS score before and after intervention,health awareness were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(93.9%vs 71.4%,P<0.05).There was no significant difference in SAS score and SDS score between the two groups before intervention(P>0.05);after intervention,SAS score and SDS score of the observation group were lower than those of the control group(P<0.05).The health awareness rate of the observation group was higher than that of the control group(91.8%vs 73.4%,P<0.05).Conclusion Evidence-based nursing can improve the clinical efficacy of patients with arrhythmia after AMI,improve the psychological state of patients,and enhance the cognitive ability of health knowledge.
作者 李慧敏 LI Huimin(Cardiology Department,Tianjin Beichen Hospital,Tianjin 300400,China)
出处 《实用心脑肺血管病杂志》 2020年第S02期196-198,共3页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 心肌梗死 心律失常 循证护理 治疗结果 心理状态 健康知晓度 Myocardial infarction Arrhythmia Evidence-based nursing Treatment outcome Psychological state Health awareness
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