A study on the application of an evidence-based model of care in patients with heart failure and atrial fibrillation
基于循证护理的模式在心衰合并房颤患者中的应用研究

摘要

目的 探讨循证护理模式在心力衰竭合并心房颤动患者中的临床应用效果。方法 选取2023年1月至2024年12月期间住院的80例心力衰竭合并房颤患者，采用随机数字表法分为干预组与对照组，每组各40例。对照组实施常规护理，干预组在此基础上应用循证护理模式。比较两组干预后NYHA心功能分级、房颤发作频率、静息心率、自我护理能力评分及护理满意度。结果 干预组心功能Ⅰ～Ⅱ级占比提升，Ⅲ～Ⅳ级比例下降，房颤发作频率与静息心率低于对照组，差异具有统计学意义（P＜0.05）。自我护理能力评分高于对照组，护理满意度显著优于常规组（P＜0.05），各项指标均显示循证护理模式可促进心功能恢复、控制心律异常、增强患者自我管理能力。结论 循证护理模式可有效优化心衰合并房颤患者的临床护理路径，具备良好的临床推广前景与应用价值。

Abstract

Objective To explore the clinical effect of evidence-based nursing (EBN) in the treatment of heart failure complicated with atrial fibrillation.
Methods Eighty patients with heart failure and atrial fibrillation hospitalized from January 2023 to December 2024 were randomly divided into intervention group and control group with 40 cases in each group. The control group implemented routine care, and the intervention group applied an evidence-based care model based on this. The NYHA cardiac function grade, atrial fibrillation frequency, resting heart rate, self-care ability score and nursing satisfaction were compared between the two groups.
Results The proportion of cardiac function in grades I to II increased in the intervention group, the proportion of grades III to IV decreased, and the frequency of atrial fibrillation and resting heart rate were lower than in the control group. The difference was statistically significant (P < 0.05).Self-care ability scores were higher than in the control group, and care satisfaction was significantly better than in the conventional group (P < 0.05). All indicators showed that evidence-based care models can promote cardiac function recovery, control heart rhythm abnormalities, and enhance patient self-management.
Conclusion   The evidence-based care model can effectively optimize the clinical care path of patients with heart failure and atrial fibrillation, and has good prospects and application value.