Analysis of the effect of evidence-based nursing on patients with arrhythmia after acute myocardial infarction
急性心肌梗死后心律失常患者实施循证护理的效果分析

摘要

目的 分析循证护理在急性心肌梗死后心律失常患者中的实际应用效果。方法 选择2024年7月-2025年7月我院急诊收治的88例急性心肌梗死后并发心律失常的患者为研究对象，采用信封法随机分为对照组（n=44）和研究组（n=44），对照组患者予以常规护理，研究组则在常规护理基础上应用循证护理干预，比较两组患者干预前后生活质量，并统计住院时间和相关并发症发生情况。结果 与干预前比较，研究组患者干预后的生活质量各维度评分明显提升且高于同期对照组（P<0.05）；研究组患者住院时间短于对照组，并发症发生率低于对照组（P<0.05）。结论 对急性心肌梗死后心律失常患者实施循证护理干预，有助于就促进患者康复进程，缩短治疗周期，对提高患者生活质量及降低并发发生率均有显著成效，值得临床推广应用。

Abstract

Objective To analyze the actual application effect of evidence-based nursing in patients with arrhythmia after acute myocardial infarction.
Methods 88 patients with acute myocardial infarction complicated with arrhythmia who were admitted to our hospital from July 2024 to July 2025 were selected as the research objects. They were randomly divided into the control group (n=44) and the study group (n=44) by the envelope method. The patients in the control group were given routine nursing, while the patients in the study group were given evidence-based nursing intervention in addition to the routine nursing. The quality of life of the two groups before and after the intervention was compared, and the length of hospital stay and the occurrence of related complications were statistically analyzed.
Results Compared with before the intervention, the scores of each dimension of the quality of life of the patients in the study group after the intervention were significantly improved and higher than those of the control group at the same period (P<0.05); the hospital stay of the patients in the study group was shorter than that of the control group, and the incidence of complications was lower than that of the control group (P<0.05).
Conclusion   Implementing evidence-based nursing intervention for patients with arrhythmia after acute myocardial infarction is conducive to promoting the rehabilitation process of patients, shortening the treatment cycle, and has significant effects on improving the quality of life of patients and reducing the incidence of complications. It is worthy of clinical promotion and application.