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目的:总结分析循证护理应用于心肌梗死并发心力衰竭患者临床护理中的效果。方法:研究对象为2015年1~12月期间武汉科技大学附属孝感市中心医院收治的心肌梗死合并心力衰竭患者,获得观察组(60例)和对照组(60例),其中对照组接受常规护理,观察组患者接受循证护理,比较分析两组抢救成功率以及并发症、护理满意度、生活质量等指标的差异。结果:观察组抢救成功率91.67%以及生活质量评分(90.5±2.5)分均明显高于对照组,并发症方面,观察组和对照组分别为10%30%,两组之间比较,均显示存在差异统计学意义(P<0.05);观察组患者护理满意度90.00%明显高于对照组护理满意度75.00%,组间差异具有统计学意义(P<0.05)。结论:循证护理在心肌梗死合并心力衰竭患者临床护理中应用效果显著,有助于实施抢救,减少并发症,提高生活质量及护理满意度,促进护患关系和谐。
Objective: To summarize and analyze the effect of evidence-based nursing in clinical nursing of patients with myocardial infarction complicated with heart failure. Methods: The subjects of our study were 60 patients with myocardial infarction complicated by heart failure admitted to Xiaogan Central Hospital Affiliated to Wuhan University of Science and Technology from January to December 2015, and the control group (60 patients). The control group received routine nursing . The patients in the observation group received evidence-based nursing care. The differences of rescue success rate, complications, nursing satisfaction and quality of life between the two groups were compared. Results: The success rate of salvage in the observation group was 91.67% and the quality of life score (90.5 ± 2.5) was significantly higher than that of the control group. In the complication, the observation group and the control group were 10% and 30% (P <0.05). The nursing satisfaction in the observation group was significantly higher than that in the control group (90.00% vs 75.00%, respectively). The differences between the two groups were statistically significant (P <0.05). CONCLUSION: Evidence-based nursing is effective in clinical nursing of patients with myocardial infarction and heart failure, which is helpful to rescue, reduce complications, improve quality of life and satisfaction with nursing, and promote the harmonious relationship between nurses and patients.