摘要
目的 分析循证护理用于急性心肌梗死后心律失常的价值。方法 对2021年2月-2023年1月本科接诊急性心肌梗死后心律失常病人（n=74）进行随机分组，试验和对照组各37人，前者采取循证护理，后者行常规护理。对比SDS评分等指标。结果 关于住院时间这个指标：试验组数据（11.23±2.18）d，和对照组数据（16.59±2.73）d相比更短（P＜0.05）。关于心脏不良事件这个指标：试验组发生率2.7%，和对照组数据18.92%相比更低（P＜0.05）。关于SDS和SAS评分：干预结束时，试验组数据比对照组低（P＜0.05）。关于满意度：试验组数据97.3%，和对照组数据81.08%相比更高（P＜0.05）。结论 急性心肌梗死后心律失常用循证护理，心脏不良事件发生率更低，住院时间更短，负性情绪缓解更为迅速，满意度改善更加明显。
关键词： 急性心肌梗死；负性情绪；心律失常；循证护理
Abstract
Objective To analyze the value of evidence-based care for arrhythmia after acute myocardial infarction. Methods The arrhythmia patients (n=74) from February 2021 to January 2023 were randomized to 37 patients each in the trial and the control group, the former received evidence-based care and the latter received routine care. Contrast the SDS score and other indicators. Results For the length of hospital stay: test group data (11.23 ± 2.18) d and shorter than control data (16.59 ± 2.73) d (P <0.05). For indicator of the adverse cardiac events: the rate was 2.7% and lower than 18.92% in the control group (P <0.05). Regarding SDS and SAS scores: At the end of the intervention, the trial group data were lower than the control group (P <0.05). On satisfaction: 97.3%, higher than 81.08% in the control group (P <0.05). Conclusion Evidence-based care showed the lower incidence of cardiac adverse events, shorter hospital stay, more rapid negative mood relief and more obvious improved satisfaction.
Key words： Acute myocardial infarction; Negative mood; Arrhythmia; Evidence-based care
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