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目的研究急性心肌梗死后心律失常干预工作中行循证护理技术的价值。方法随机选取我院重症医学科2014年08月~2016年08月收治的因急性心肌梗死患者72例作为研究对象,都出现心律失常症状,其中34例基础组行常规干预,而38例循证组则加行循证干预,同时对照两组病例住院时长、卧床时长以及心功能分级等指标。结果 34例基础组病例中,住院时长(18.52±2.20)天,卧床时长(5.59±1.10)天,38例循证组病例分别是(10.62±1.27)d、(2.57±0.59)天,差异有统计学意义(P<0.05),且循证组心功能分级同样优于基础组,差异有统计学意义(P<0.05)。结论对于出现心律失常症状的急性心肌梗死患者,建议加强循证干预,有助于改善其心功能指数。
Objective To study the value of evidence-based nursing in the intervention of arrhythmia after acute myocardial infarction. Methods Totally 72 patients with acute myocardial infarction who were treated in our department’s Department of Critical Care Medicine from August 2014 to August 2016 were enrolled in this study. All of them had arrhythmia symptoms. Among them, 34 patients in the basic group received routine intervention and 38 patients were evidence-based The group was followed by evidence-based intervention, while control two groups of patients in hospital length of stay, bed rest and cardiac function and other indicators. Results The length of hospital stay was (18.52 ± 2.20) days in bed and the length of stay in bed (5.59 ± 1.10) days in 38 cases of basic group were (10.62 ± 1.27) days and (2.57 ± 0.59) days in 38 cases of basic group, respectively Statistical significance (P <0.05), and the evidence-based cardiac function classification is also superior to the basic group, the difference was statistically significant (P <0.05). Conclusions For patients with AMI presenting with arrhythmia symptoms, it is recommended that evidence-based interventions be strengthened to improve their cardiac function index.