Song Li, Xiong Yan, Gao Hanxiang, Yao Suyu, Deng Hua
Department of Cardiology, The First Hospital of Lanzhou University, Lanzhou, China.
Department of Respiratory Medicine (Geriatrics), Wuhan Wuchang Hospital, Wuhan, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e41182. doi: 10.1097/MD.0000000000041182.
This study aims to assess the impact of comprehensive nursing care on sleep quality and rehabilitation duration in patients experiencing arrhythmia after acute myocardial infarction (AMI). Eighty-four patients with post-AMI arrhythmia treated at our hospital from February 2018 to February 2019 were selected and divided based on the nursing care received. The observation group (n = 44) underwent comprehensive nursing interventions, while the control group (n = 40) received standard nursing care. Evaluations of cardiac function indices and sleep quality were conducted before and after the nursing interventions. In addition, comparisons were made between the 2 groups regarding arrhythmia occurrence, patient compliance during care, visual analog scale scores for pain, self-rating anxiety scale scores, self-rating depression scale scores, and overall nursing satisfaction. Following the nursing interventions, the observation group exhibited a significant increase in cardiac output, unlike the control group, which showed no notable change. Both groups demonstrated significant improvements in left ventricular end-diastolic dimension and left ventricular ejection fraction; however, these enhancements were more pronounced in the observation group. Post-intervention, the Pittsburgh Sleep Quality Index scores were significantly lower in the observation group compared with the control group, indicating better sleep quality. The observation group also experienced a significant reduction in the incidence, frequency, and duration of arrhythmia episodes. Furthermore, this group showed a lower incidence of complications during the intervention period and reported lower visual analog scale, self-rating anxiety scale, and self-rating depression scale scores after nursing care. Nursing satisfaction rates were notably higher in the observation group than in the control group. Comprehensive nursing care significantly enhances sleep quality, speeds up rehabilitation, and increases patient satisfaction in individuals with arrhythmia after AMI. These findings support the clinical adoption of comprehensive nursing interventions for this patient population.
本研究旨在评估综合护理对急性心肌梗死（AMI）后心律失常患者睡眠质量和康复时长的影响。选取2018年2月至2019年2月在我院接受治疗的84例AMI后心律失常患者，根据所接受的护理进行分组。观察组（n = 44）接受综合护理干预，对照组（n = 40）接受标准护理。在护理干预前后对心功能指标和睡眠质量进行评估。此外，比较两组在心律失常发生情况、护理期间患者依从性、疼痛视觉模拟量表评分、自评焦虑量表评分、自评抑郁量表评分以及总体护理满意度方面的差异。护理干预后，观察组的心输出量显著增加，而对照组无明显变化。两组的左心室舒张末期内径和左心室射血分数均有显著改善；然而，观察组的改善更为明显。干预后，观察组的匹兹堡睡眠质量指数评分显著低于对照组，表明睡眠质量更好。观察组心律失常发作的发生率、频率和持续时间也显著降低。此外，该组在干预期间并发症的发生率较低，护理后视觉模拟量表、自评焦虑量表和自评抑郁量表评分也较低。观察组的护理满意度显著高于对照组。综合护理显著提高了AMI后心律失常患者的睡眠质量，加快了康复速度，并提高了患者满意度。这些研究结果支持对该患者群体临床采用综合护理干预措施。
