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优质护理在急性心肌梗死并发心律失常患者中的应用 被引量:66

Application of high-quality nursing in patients with acute myocardial infarction complicated with arrhythmia
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摘要 目的探讨优质护理在急性心肌梗死并发心律失常患者中的应用效果。方法将105例急性心肌梗死并发心律失常患者随机分为对照组53例和观察组52例,对照组实施常规护理,观察组在此基础上实施优质护理。护理2周后,评估2组舒适度和护理满意度,对比2组卧床时间及护理前后负性情绪的变化。结果 2组护理后舒适度各项评分均显著增加(P<0.01),且观察组高于对照组(P<0.01);观察组护理满意率显著高于对照组(P<0.05);观察组平均卧床时间(2.64±0.52)d,显著少于对照组(4.35±0.67)d(P<0.01);2组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均呈下降趋势(P<0.01),且观察组评分低于对照组(P<0.01)。结论对急性心肌梗死并发心律失常的患者实施优质护理,可有效提高患者的舒适度和护理满意度,改善情绪状态,促进病情康复。 Objective To explore the application efficacy of high-quality nursing in patients with acute myocardial infarction( AMI) complicated with arrhythmia. Methods A total of 105 patients with AMI complicated with arrhythmia were randomly divided into control group( n = 53) and observation group( n = 52). Control group was treated with routine nursing,while observation group was added with high-quality nursing. After 2-week nursing,comfort degree and satisfactory degree of nursing were evaluated in both groups,and bedbound time and changes of negative emotions before and after nursing were compared between two groups. Results Comfort degree increased significantly in both groups after nursing( P 〈 0. 01),and it was markedly higher in observation group than that in control group( P 〈 0. 01). The satisfactory degree of nursing was evidently higher in observation group than the control group( P 〈 0. 05). The average bedbound time was( 2. 64 ± 0. 52) d in observation group,which was notably shorter than( 4. 35 ± 0. 67) d in control group( P 〈 0. 01). Scores of self-rating anxiety scale( SAS) and self-rating depression scale( SDS) decreased prominently in both groups after nursing( P 〈 0. 01),which were obviously lower in observation group than those in control group( P 〈 0. 01). Conclusion Application of high-quality nursing can effectively increase the comfort degree and satisfactory degree of nursing,improve the emotional status and promote the disease rehabilitationof patients with AMI complicated with arrhythmia.
出处 《实用临床医药杂志》 CAS 2016年第20期11-13,共3页 Journal of Clinical Medicine in Practice
关键词 急性心肌梗死 心律失常 优质护理 acute myocardial infarction arrhythmia high-quality nursing
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