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Application of evidence-based nursing in patients with acute myocardial infarction complicated with heart failure

Yanyun Zhou1, Xuan Wang2, Shanshan Lan3

  • 1College of Nursing, Yongzhou Vocational Technical College Yongzhou 425100, China.

American Journal of Translational Research
|June 21, 2021
PubMed

Insights

Evidence-based nursing (EBN) significantly improved outcomes for patients with acute myocardial infarction (AMI) and heart failure. EBN reduced anxiety and depression, enhancing quality of life and treatment efficacy.

Area of Science:

  • Cardiology
  • Nursing Science
  • Evidence-Based Practice

Background:

  • Acute myocardial infarction (AMI) frequently complicates with heart failure, necessitating optimized patient care strategies.
  • Effective nursing interventions are crucial for managing complex cardiac conditions and improving patient recovery.

Purpose of the Study:

  • To evaluate the application and impact of evidence-based nursing (EBN) in patients diagnosed with acute myocardial infarction (AMI) complicated by heart failure.
  • To compare the efficacy of EBN versus routine nursing care in improving patient outcomes and satisfaction.

Main Methods:

  • A randomized controlled trial involving 76 patients with AMI and heart failure post-Percutaneous Transluminal Coronary Intervention (PCI).
  • Patients were divided into an experimental group (EBN) and a control group (routine nursing).
  • Outcomes assessed included anxiety (SAS), depression (SDS), quality of life, treatment efficacy (LVEF, LVDd, BNP), and nursing satisfaction.

Main Results:

  • The EBN group showed significantly lower anxiety (SAS) and depression (SDS) scores compared to the control group (P < 0.001).
  • Patients receiving EBN reported enhanced quality of life (P < 0.05) and higher nursing satisfaction (P < 0.05).
  • EBN improved cardiac function, evidenced by higher Left Ventricular Ejection Fraction (LVEF) and lower Left Ventricular Diastolic Diameter (LVDd) and Brain Natriuretic Peptide (BNP) levels (P < 0.05).

Conclusions:

  • Evidence-based nursing (EBN) demonstrates significant benefits for patients experiencing acute myocardial infarction (AMI) complicated with heart failure.
  • EBN is a valuable and effective nursing approach that warrants widespread implementation in clinical practice for this patient population.
Abstract

Keywords:
Evidence-based nursingacute myocardial infarctioncomplicationsheart failurenursing effect

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