CAJ | 학술논문

目的探讨运用循证护理方案对急性心肌梗死经皮冠状动脉腔内成形术(PTCA)及支架术后患者早期康复的护理效果.方法将47例急性心肌梗死介入治疗患者简单随机分为循证组和对照组,循证组24例采用循证护理方案进行护理,对照组23例采用常规方法护理,并对2组的护理效果进行比较,包括不良反应发生率、平均住院时间、运动能力及心理状态.结果循证组未增加心脏及血管并发症(P＞0.05),不良反应发生率较对照组低(P＜0.05),平均住院时间较对照组短(P＜0.01),运动能力与心理状态方面明显优于对照组(P＜0.05).结论运用循证护理方法可以促进PTCA及支架术后患者的康复.
목적 탐토운용순증호리방안대급성심기경사경피관상동맥강내성형술(PTCA)급지가술후환자조기강복적호리효과.방법 장47례급성심기경사개입치료환자간단수궤분위순증조화대조조,순증조24례채용순증호리방안진행호리,대조조23례채용상규방법호리,병대2조적호리효과진행비교,포괄불량반응발생솔、평균주원시간、운동능력급심리상태.결과 순증조미증가심장급혈관병발증(P＞0.05),불량반응발생솔교대조조저(P＜0.05),평균주원시간교대조조단(P＜0.01),운동능력여심리상태방면명현우우대조조(P＜0.05).결론 운용순증호리방법가이촉진PTCA급지가술후환자적강복.
Objective To validate the clinical effect of evidence-based nursing on early rehablilitation of patients with acute myocardial infarction undergoing PTCA and intracoronary stenting. Methods 47 patients with acute myocardial infarction undergoing PTCA and intracoronary stenting were divided into the nursing group(24 cases)and the control group(23 cases).The nursing group received nursing with evidence-based nursing pattern while the control adopted routine nursing method. The nursing effect in the two groups was compared in the following aspects such as the incidence rate of adverse effect,average hospitalization days, athletic ability and psychological status. Results The incidenece rate of adverse effect Was lower(P＜0.05)and the average hospitalization days were shorter(P＜0.01)than those of the control group with addition of cardiovascular complications(P＞0.05).The athletic ability and psychological status were also superior to those of the control group(P＜0.05).Conclusion Application of evidence-based nursing could hasten the rehabilitative process of patients undergoing PTCA and intracoronary stenting.