摘要
目的 研究循证护理在心肌梗死合并心力衰竭患者中的应用价值。方法 方便选取2019年8月—2021年3月在该院治疗的82例心肌梗死合并心力衰竭患者为研究对象,按照数表法随机分为对照组和研究组,各41例。对照组实施常规护理,研究组实施循证护理,对比两组患者护理前后负面情绪、生活质量、心力衰竭控制时间、卧床时间、住院时间。结果 护理前,两组焦虑、抑郁评分比较差异无统计学意义(P>0.05);护理后,研究组焦虑评分为(37.78±4.43)分,抑郁评分为(40.96±4.24)分,明显低于对照组,差异有统计学意义(t=3.392、3.799,P<0.05)。护理前,两组躯体功能、认知功能、角色功能、情绪功能、社会功能评分对比差异无统计学意义(P>0.05);护理后,研究组躯体功能评分为(67.41±5.85)分,认知功能评分为(65.03±5.32)分,角色功能评分为(74.65±5.67)分,情绪功能评分为(59.24±5.56)分,社会功能评分为(70.36±5.67)分,明显高于对照组,差异有统计学意义(t=4.574、4.052、3.791、2.709、3.593,P<0.05)。研究组心力衰竭控制时间为(5.32±1.24)h,卧床时间为(2.96±0.82)d,住院时间为(9.89±2.17)d,明显短于对照组,差异有统计学意义(t=5.633、4.772、4.880,P<0.05)。结论心肌梗死合并心力衰竭患者应用循证护理的价值更高,可进一步缓解患者负面情绪,提高患者生活质量,加快患者康复。
Objective To study the application value of evidence-based nursing in patients with myocardial infarction complicated with heart failure.Methods A total of 82 patients with myocardial infarction and heart failure who were treated in the hospital from August 2019 to March 2021 were conveniently selected as the research objects.According to the digital table method,the patients were randomly divided into control group and study group.The control group was given routine nursing,and the study group was given evidence-based nursing.The negative emotions,quality of life,heart failure control time,bed rest time and hospitalization time were compared the two groups of patients between and after nursing.The results of the two groups were compared.Results Before nursing,the scores of anxiety and depression between the two groups were not statistically significant(P>0.05).After nursing,the anxiety score of the study group was(37.78±4.43)points,and the depression score was(40.96±4.24)points,which were significantly lower than those of the control group,the difference was statistically significant(t=3.392,3.799,P<0.05).Before nursing,the scores of physical function,cognitive function,role function,emotional function and social function between the two groups were not statistically significant(P>0.05).After nursing,the physical function score of the study group was(67.41±5.85)points,the cognitive function was(65.03±5.32)points,the role function was(74.65±5.67)points,and the emotional function was(59.24±5.56)points.The social function score was(70.36±5.67) points,significantly higher than the control group,the difference was statistically significant(t=4.574,4.052,3.791,2.709,3.593,P<0.05).The heart failure control time in the study group was(5.32±1.24) h,the bed rest time was(2.96±0.82) d,and the hospitalization time was(9.89±2.17) d,significantly shorter than the control group,the difference was statistically significant(t=5.633,4.772,4.880,P<0.05).Conclusion The value of evidence-based nursing in patients with myocardial infarction and heart failure is higher,which can further alleviate the negative emotions of patients,improve the quality of life of patients,and speed up the recovery of patients.
作者
张军杨
ZHANG Junyang(Department of Cardiovascular Medicine,Hui'an County Hospital,Quanzhou,Fujian Province,362100 China)
出处
《中外医疗》
2022年第15期153-156,176,共5页
China & Foreign Medical Treatment
关键词
心肌梗死
心力衰竭
循证护理
负面情绪
生活质量
Myocardial infarction
Heart failure
Evidence-based nursing
Negative emotions
Quality of life
作者简介
张军杨(1977-),女,本科,副主任护师,研究方向为心血管内科。
