循证护理干预对急性心梗患者住院早期的症状及 心理状态改善作用分析

目的 探究循证护理干预对急性心梗患者住院早期的症状改善及心理状态改善作用。方法 随机选取2016年1月~2017年1月入我院住院治疗的急性心肌梗死患者74例为研究对象，采用随机数字表法分为观察组与对照组，每组37例。对照组予以常规护理，观察组予以循证护理干预，观察两组经护理后疼痛程度、持续时间、疼痛频率等疼痛相关指标下的症状表现，采用SAS、SDS、MOS SF-36评价中心理改善情况。结果 护理后，观察组疼痛持续时间（2.70±0.50）min、疼痛频率（0.50±0.40）次/24h、疼痛程度（2.90±0.90）分改善程度均优于对照组，SDS（38.26±5.09）分、SAS（39.35±5.05）分与MOS SF-36中的情感指数（9.25±2.10）分、健康指数（9.86±2.98）分、生活满意度（10.27±2.21）分改善程度均优于对照组，差异具有统计学意义（P＜0.05）。观察组并发症发生率低于对照组（8.11% vs 18.91%），差异具有统计学意义（P＜0.05）。结论 循证护理干预对急性心梗住院早期的症状表现有较好的改善效果，对保持良好的心理状态具有积极作用。

Effect of Evidence-based Nursing Intervention on Symptom and Psychological State Improvement in Patients with Acute Myocardial Infarction

Abstract:Objective To explore the role of evidence-based nursing intervention in improving symptoms and improving mental state in the early stage of acute myocardial infarction.Methods A total of 74 patients with acute myocardial infarction admitted to our hospital from January 2016 to January 2017 were randomly selected. The patients were divided into observation group and control group by random number table, with 37 cases in each group. The control group received routine nursing care, and the observation group received evidence-based nursing intervention to observe the symptoms of the two groups under pain-related indicators such as pain level, duration, pain frequency, and the use of SAS, SDS, MOS SF-36. Psychological improvement in the evaluation.Results After treatment, the pain duration (2.70±0.50) min, pain frequency (0.50±0.40) times/24h, and pain degree (2.90±0.90) were better than the control group, SDS (38.26±5.09). The scores of SAS (39.35±5.05) and MOS SF-36 were better than those of the control group (9.25±2.10), health index (9.86±2.98), and life satisfaction (10.27±2.21). The improvement was better than the control group,the difference was statistically significant (P<0.05). The incidence of complications in the observation group was lower than that in the control group (8.11% vs 18.91%),the difference was statistically significant (P<0.05).Conclusion Evidence-based nursing intervention has a better effect on the early symptoms of acute myocardial infarction and has a positive effect on maintaining a good psychological state.