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

OBJECTIVE: To explore the application of evidence-based nursing (EBN) in patients with acute myocardial infarction (AMI) complicated with heart failure. METHODS: A total of 76 patients with acute myocardial infarction complicated with heart failure after Percutaneous Transluminal Coronary Intervention (PCI) were admitted to the Department of Cardiology of our hospital from April 2018 to October 2019 and randomly divided into the control group and the experimental group, with 38 patients in each group. The control group received routine nursing and the experimental group received EBN nursing. Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) scores, quality of life, long-term treatment efficacy, and nursing satisfaction in the two groups before and after nursing were compared and analyzed. RESULTS: In terms of SAS and SDS, the experimental group after nursing had remarkably lower scores than the control group (t=6.468, 4.025, all P < 0.001). The quality-of-life scores of patients in both groups after nursing were better, and the increase in the experimental group was more evident (all P < 0.05). Left Ventricular Ejection Fraction (LVEF) in the experimental group was significantly higher compared with the control group (t=2.480, P < 0.05), while Left Ventricular Diastolic Diameter (LVDd) and Brain Natriuretic Peptide (BNP) were significantly lower (t=3.824, 12.241, all P < 0.001). Considering the total nursing satisfaction, the experimental group demonstrated a higher satisfaction rate (P < 0.05). CONCLUSION: EBN is beneficial for patients with AMI complicated with heart failure, and it is worth being popularized in clinical nursing.