CAJ | 학술논문

目的探讨急性心肌梗死患者早期床边排便活动的安全性.方法将55例符合入选条件的急性心肌梗死患者随机分为实验组28例与对照组27例,分别采取床边排便和传统卧床排便的护理方法,观察2组患者心率、血压及心肌耗氧量(D-P)等指标变化.结果对照组大便后心率、收缩压、舒张压比静息时升高(P＜0.05),而实验组患者大便后心率、收缩压、舒张压与静息时比较.差异无统计学意义(P＞0.05);2组大便后D-P均高于静息D-P(P＜0.05).实验组与对照组在"主诉不适"、并发症等方面比较,差异无统计学意义(P＞0.05),但实验组患者便秘发生率及平均住院天数显著低于对照组(P＜0.05.结论对生命体征稳定、无严重并发症的急性心肌梗死患者梗死24-72 h在心电、血压监测下早期进行床边大便活动是安全可行的.
목적 탐토급성심기경사환자조기상변배편활동적안전성.방법 장55례부합입선조건적급성심기경사환자수궤분위실험조28례여대조조27례,분별채취상변배편화전통와상배편적호리방법,관찰2조환자심솔、혈압급심기모양량(D-P)등지표변화.결과 대조조대편후심솔、수축압、서장압비정식시승고(P＜0.05),이실험조환자대편후심솔、수축압、서장압여정식시비교.차이무통계학의의(P＞0.05);2조대편후D-P균고우정식D-P(P＜0.05).실험조여대조조재"주소불괄"、병발증등방면비교,차이무통계학의의(P＞0.05),단실험조환자편비발생솔급평균주원천수현저저우대조조(P＜0.05.결론 대생명체정은정、무엄중병발증적급성심기경사환자경사24-72 h재심전、혈압감측하조기진행상변대편활동시안전가행적.
Objective To explore the safety of bedside bowel movement during the earlY phase of patients with acute myocardial infarction(AMI).Methods 55 patients were randomly divided into the experimental group(28 cases)and the control group(27 cases).The experimental group adopted bedside bowel movement while the control group used routine in-bed bowel movement.The heart rate,blood pressure and myocardial oxygen comsumption(D-P)were observed.Results The heart rate,systolic blood pressure,and diastolic blood pressure in the control group were higher than those in steady state(P＜0.05).While in the experimental group the above factors were not statistically different from those in steady state (P＞0.05).The D-P both increased in the two groups compared with that in steady state(P＜0.05).The incidence of uncomfortable complaint and complications were not different between the two groups but the rate of constipation and mean in-hospital days were lower than those in the control group(P＜0.05).Conclusion It proved safe and applicable for patients with AMI to adopt bedside bowel movement during 24 to 72hours after infarction under the electrocardiac and blood pressure monitoring if their vital signs were steady and did not have any serious complications.