CAJ | 학술논문

目的探讨促进脑梗塞患者下床系统性的干预指引的效果.方法根据患者衣、食、住、行制订脑梗塞患者下床系统性的干预指引(包括图片、文字、录像),使患者、家属、临床护士掌握脑梗塞患者下床时机和下床技巧,避免下床并发症的发生.并选用开展实施系统性干预指引前1年(2010年)与开展系统性干预指引后1年(2012年)收治的脑梗塞患者分别进行比较.结果 2012年与2010年收治的脑梗塞患者相比,发病3d下床(37.6％vs.1.8％)与发病5d下床(89.8％ vs.11.4％)百分比明显提高,发生坠积性肺炎、泌尿系感染、足下垂、肌肉萎缩、便秘的比例明显降低,平均住院时间明显缩短,生活自理能力评分明显升高,差异均有统计学意义(P＜0.05).结论应用系统性的干预指引能有效促进脑梗塞患者下床.
목적 탐토촉진뇌경새환자하상계통성적간예지인적효과.방법 근거환자의、식、주、행제정뇌경새환자하상계통성적간예지인(포괄도편、문자、록상),사환자、가속、림상호사장악뇌경새환자하상시궤화하상기교,피면하상병발증적발생.병선용개전실시계통성간예지인전1년(2010년)여개전계통성간예지인후1년(2012년)수치적뇌경새환자분별진행비교.결과 2012년여2010년수치적뇌경새환자상비,발병3d하상(37.6％vs.1.8％)여발병5d하상(89.8％ vs.11.4％)백분비명현제고,발생추적성폐염、비뇨계감염、족하수、기육위축、편비적비례명현강저,평균주원시간명현축단,생활자리능력평분명현승고,차이균유통계학의의(P＜0.05).결론 응용계통성적간예지인능유효촉진뇌경새환자하상.
Objective To explore the systematic intervention instruction on promoting patients with cerebral infarction to get out of bed.Methods According to basic necessities of life,systematic intervention instruction on promoting patients with cerebral infarction to get out of bed was established (including pictures,text,and video).The timing and skills of getting out of bed were mastered by patients,their family members,and clinical nurses to avoid the occurrence of complications associated with getting out of bed.The patients who were treated one year before implementing systematic intervention (2010) were compared with those treated one year after conducting systematic intervention (2012).Results As compared with the patients treated in 2010,the rate of getting out of bed 3 or 5 days after onset was significantly increased in the patients treated in 2012 (37.6％ vs.1.8％ and 89.8％ vs.11.4％).The incidence rates of hypostatic pneumonia,urinary tract infection,foot drop,muscular atrophy,and constipation were significantly lowered; average length of hospital stay were significantly shortened; the scores on self-care ability of living was markedly increased,with significant differences between the two groups (P＜0.05).Conclusion Systematic ntervention instruction can effectively promote patients with cerebral infarction to get out of bed.