CAJ | 학술논문

目的探讨改良全程护理干预在脑血管造影术患者中的应用效果.方法选择脑血管造影患者136例,采用随机数字法随机分为观察组68例,对照组68例,对照组采用传统护理方法,观察组在传统护理上增加改良全程护理干预,比较两组患者手术前后焦虑评分及术后并发症等方面有无差异.结果两组患者术前状态焦虑量表(S-CAI)评分差异无统计学意义(t=0.08,P＞0.05)；术后S-CAI评分观察组(11.05±2.46)分,对照组(13.92±2.43)分,两组比较差异有统计学意义(t=6.84,P＜0.05)；术后并发症发生率,观察组为7.35％,对照组为33.80％,差异有统计学意义(x2=14.57,P＜0.05).结论通过改良后的全程护理干预可发减少患者禁食时间及不良反应,减轻患者焦虑紧张心理,降低术后并发症,增加手术成功率及患者的满意度,值得临床推广.
목적 탐토개량전정호리간예재뇌혈관조영술환자중적응용효과.방법 선택뇌혈관조영환자136례,채용수궤수자법수궤분위관찰조68례,대조조68례,대조조채용전통호리방법,관찰조재전통호리상증가개량전정호리간예,비교량조환자수술전후초필평분급술후병발증등방면유무차이.결과 량조환자술전상태초필량표(S-CAI)평분차이무통계학의의(t=0.08,P＞0.05)；술후S-CAI평분관찰조(11.05±2.46)분,대조조(13.92±2.43)분,량조비교차이유통계학의의(t=6.84,P＜0.05)；술후병발증발생솔,관찰조위7.35％,대조조위33.80％,차이유통계학의의(x2=14.57,P＜0.05).결론 통과개량후적전정호리간예가발감소환자금식시간급불량반응,감경환자초필긴장심리,강저술후병발증,증가수술성공솔급환자적만의도,치득림상추엄.
Objective To observe the effects of improved whole course nursing care for patients under cerebral angiography operation.Methods 136 patients under cerebral angiography operation between January,2011 and March,2012 were selected for the study and randomly divided into experimental group and control group with 68 cases in each group.The comparison group was treated with traditional nursing care.Except the traditional nursing care,experimental group received improved whole course nursing care.Anxiety scores before and after the operation and postoperative complications were compared between the two groups.Results According to the selfrating anxiety scale,there was no significant difference in preoperative anxiety scores ( t =0.08,P ＞0.05 )between two groups.However,significant difference was observed in postoperative anxiety scores,(11.05 ±2.46 )for the experimental group and (13.92 ± 2.43 ) for the control group (t=6.84,P ＜0.05 ).Postoperative complications were also found significant different between two groups,7.35％ and 33.80％ for the experimental group and control group respectively ( x2 =14.57,P ＜0.05 ).Conclusions Improved whole course nursing care can minimize side effects and fasting time, ease patients' anxiety, reduce stress responses and postoperative complications,increase the success rate of operations and enhance patients' degree of satisfaction.It is worth of clinic application.