Effect of Problem-Oriented Evidence-Based Nursing on Clinical Recovery and Prognosis in Patients with Arrhythmia after Acute Myocardial Infarction
Abstract
Background: To probe into the influence of evidence-based nursing (EBN) on clinical recovery and prognosis of patients with arrhythmia after acute myocardial infarction (AMI).
Methods: Totally, 240 AMI patients with arrhythmia treated in Taizhou People's Hospital（Jiangsu, China） from July 2019 to December 2020 were collected and randomly divided into the study group (n = 120) and control group (n = 120). The control group was received routine nursing, while the study group carried out EBN. The following indicators were evaluated and compared between the two groups: length of hospital stay, symptom disappearance time, cardiac function, psychological status, and incidence of adverse events after 6 months of follow-up were.
Results: Compared to the control group, the length of hospital stay, symptom disappearance time, LVEF (left ventricular ejection fraction), LVEDD (left ventricular end-diastolic diameter), SAS (self-rating anxiety scale) score and SDS (self-rating depression scale) score in the study group were significant improves (P < 0.05), and the incidence of adverse events after 6-month follow-up in the study group was also significantly lower than that in the control group (P < 0.05).
Conclusion: EBN intervention for AMI patients with arrhythmia can significantly improve the length of hospital stay and symptom disappearance time, adjust cardiac function and psychological status, and reduce the incidence of adverse events.
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18. Yongfen Liu (2014). Application of Evi-dence-Based Nursing in the Treatment of Arrhythmia after Acute Myocardial In-farction. China Pract Med, 9(11): 235-236.
19. French P (1999). The development of evi-dence‐based nursing. J Adv Nurs, 29(1): 72-78.
20. Hartmann K (2015). Efficacy of antiviral chemotherapy for retrovirus-infected cats: what does the current literature tell us? J Feline Med Surg, 17(11): 925-939.
21. Schlömer G (2000). Evidence-based nurs-ing: a method for nursing practice? Pflege, 13(1): 47-52.
22. Mulhall A (1998). Nursing, research, and the evidence. Evid Based Nurs, 1(1): 4-6.
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24. Butler A, Hall H, Copnell B (2016). A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews Evid Based Nurs, 13(3): 241-9.
25. Benech I, Wilson AE, Dowell AC (1996). Evidence-based practice in primary care: past, present and future. J Eval Clin Pract, 2(4): 249-263.
26. Frazier S K, Moser D K, O'Brien J L, et al (2002). Management of anxiety after acute myocardial infarction. Heart Lung, 31(6): 411-420.
27. Huang YD, Zheng XG, Chen LN (2015). Evidence-based nursing reduces postop-erative complications and improves quali-ty of life for patient with thyroid cancer. J Pract oncol, 30(1): 52-55.
28. Hartmann K (2015). Efficacy of antiviral chemotherapy for retrovirus-infected cats: what does the current literature tell us? J Feline Med Surg, 17(11): 925-939.
29. Wu M L, Xu Q (2014). Application of evi-dence-based nursing in patients with ar-rhythmia after acute myocardial infarc-tion. Cardiovasc Dis J Integr Trad Chin West Med (Electronic), 2(09): 150-152.
30. Yang Y (2014). Effect of Evidence-Based Nursing on Rehabilitation of Patients with Arrhythmia after Acute Myocardial Infarction. Med Innov Chin, 11(17): 102-104.
31. Yu X, Yu C (2019). Effect of evidence-based nursing on treatment outcome and quality of life in patients with acute myo-cardial infarction and concurrency ar-rhythmia. Nurs Pract Res, 16(17): 51-53.
2. Gómez-Hurtado N, Fernández-Velasco M, Fernández-Alfonso M S, et al (2014). Prolonged leptin treatment increases transient outward K+ current via upregu-lation of Kv4. 2 and Kv4. 3 channel sub-units in adult rat ventricular myocytes. Pflugers Arch, 466(5): 903-914.
3. Nattel S, Maguy A, Le Bouter S, et al (2007). Arrhythmogenic Ion-Channel Remodel-ing in the Heart: Heart Failure, Myocardial Infarction, and Atrial Fibrillation. Physiol Rev, 87(2): 425-456.
4. Huikuri, Heikki, V, et al (2001). Sudden Death Due to Cardiac Arrhythmias. N Engl J Med, 345(20): 1473-1482.
5. Ping Ma (2017). Observation of the Effect of Circulation Nursing on Arrhythmia af-ter Acute Myocardial Infarction. World Latest Med Inf, 17(49): 169-173.
6. Wu P, Vaseghi M (2020). The autonomic nervous system and ventricular arrhyth-mias in myocardial infarction and heart failure. Pacing Clin Electrophysiol, 43(2):172-180.
7. Pendharkar S A, Singh R G, Chand S K, et al (2018). Pro-inflammatory cytokines af-ter an episode of acute pancreatitis: asso-ciations with fasting gut hormone profile. Inflamm Res, 67: 339-350.
8. Brown G, Dodek P (2001). Intravenous in-sulin nomogram improves blood glucose control in the critically ill. Crit Care Med, 29(9): 1714-1719.
9. Dellinger R P, Levy M M , Carlet J M (2008). Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med, 36(1): 296-327.
10. Li Y (2020). Application analysis of evi-dence-based nursing model for patients with arrhythmia after acute myocardial in-farction. J Clin Med Liter (Electronic Edition), 7(49): 114-123.
11. Hu Y J (2020). Application of evidence-based nursing for patients with arrhyth-mia after acute myocardial infarction. Xinxueguanbing Fangzhi Zhishi, 10(11): 94-96.
12. Qiu X (2018). Application of evidence-based nursing for patients with arrhythmia after acute myocardial infarction. World Latest Med Inf, 18(91): 253-254.
13. Mao D (2018). Application of evidence-based nursing for patients with arrhyth-mia after acute myocardial infarction. World Latest Med Inf, 18(82): 245-246.
14. Justine B A, William D, Sharad A (2017). Ventricular Arrhythmia after Acute Myo-cardial Infarction: 'The Perfect Storm'. Arrhythm Electrophysiol Rev, 6(3): 134-139.
15. Hongmei Su, Yun Zhou, Jing, Cao et al (2016). Comparative Study of Evidence-Based Nursing and Routine Nursing On Arrhythmia after Acute Myocardial In-farction in Elderly Patients. Chin J Evid Based Cardiovasc Med, 8(9): 1106-1107.
16. Wang X, Xu M (2019). Application of Evi-dence-based Nursing in Elderly Patients with Ar-rhythmia after Acute Myocardial Infarction. J Geriatr Med, 1(01).
17. Gan X W, Zeng Y, Zhou Z H, Lin F Y (2016). Application of Evidence-based Nursing in Patients with Arrhythmia after Acute Myocardial Infarction. Chin J Cancer Prev Treat, 23(S2): 352-354.
18. Yongfen Liu (2014). Application of Evi-dence-Based Nursing in the Treatment of Arrhythmia after Acute Myocardial In-farction. China Pract Med, 9(11): 235-236.
19. French P (1999). The development of evi-dence‐based nursing. J Adv Nurs, 29(1): 72-78.
20. Hartmann K (2015). Efficacy of antiviral chemotherapy for retrovirus-infected cats: what does the current literature tell us? J Feline Med Surg, 17(11): 925-939.
21. Schlömer G (2000). Evidence-based nurs-ing: a method for nursing practice? Pflege, 13(1): 47-52.
22. Mulhall A (1998). Nursing, research, and the evidence. Evid Based Nurs, 1(1): 4-6.
23. Sackett D L (1997). Evidence-based medi-cine. Semin Perinatol, 21(1): 3-5.
24. Butler A, Hall H, Copnell B (2016). A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews Evid Based Nurs, 13(3): 241-9.
25. Benech I, Wilson AE, Dowell AC (1996). Evidence-based practice in primary care: past, present and future. J Eval Clin Pract, 2(4): 249-263.
26. Frazier S K, Moser D K, O'Brien J L, et al (2002). Management of anxiety after acute myocardial infarction. Heart Lung, 31(6): 411-420.
27. Huang YD, Zheng XG, Chen LN (2015). Evidence-based nursing reduces postop-erative complications and improves quali-ty of life for patient with thyroid cancer. J Pract oncol, 30(1): 52-55.
28. Hartmann K (2015). Efficacy of antiviral chemotherapy for retrovirus-infected cats: what does the current literature tell us? J Feline Med Surg, 17(11): 925-939.
29. Wu M L, Xu Q (2014). Application of evi-dence-based nursing in patients with ar-rhythmia after acute myocardial infarc-tion. Cardiovasc Dis J Integr Trad Chin West Med (Electronic), 2(09): 150-152.
30. Yang Y (2014). Effect of Evidence-Based Nursing on Rehabilitation of Patients with Arrhythmia after Acute Myocardial Infarction. Med Innov Chin, 11(17): 102-104.
31. Yu X, Yu C (2019). Effect of evidence-based nursing on treatment outcome and quality of life in patients with acute myo-cardial infarction and concurrency ar-rhythmia. Nurs Pract Res, 16(17): 51-53.
| Files | ||
| Issue | Vol 51 No 4 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v51i4.9242 | |
| Keywords | ||
| Evidence-based nursing Acute myocardial infarction Arrhythmia Prognosis Clinical effect | ||
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How to Cite
1.
Ni X, Rui X-W, Wu J, Zhao W, Jiang S, Wang R, Wang L. Effect of Problem-Oriented Evidence-Based Nursing on Clinical Recovery and Prognosis in Patients with Arrhythmia after Acute Myocardial Infarction. Iran J Public Health. 2022;51(4):814-820.
