CAJ | 학술논문

目的：探讨护理干预对高危冠状动脉旁路移植术患者康复的影响。方法：将60例冠状动脉旁路移植术患者随机分为对照组和观察组各30例，对照组给予常规护理，观察组在常规护理基础上进行术前腹式呼吸、有效咳嗽及床上排便训练，术后按计划进行早期活动和饮食、用药及心理指导。观察两组术后早期不良事件、晚期并发症发生情况及各项观察指标。结果：观察组不良事件发生例数明显少于对照组，并发症发生率明显低于对照组（P＜0．05）；观察组各项指标明显优于对照组（P＜0．05）。结论：对行冠状动脉旁路移植术的高危冠心病患者术前适时进行训练、术后早期活动与加强心理指导，能有效减少术后并发症，缩短住院天数，促进患者顺利康复。
목적：탐토호리간예대고위관상동맥방로이식술환자강복적영향。방법：장60례관상동맥방로이식술환자수궤분위대조조화관찰조각30례，대조조급여상규호리，관찰조재상규호리기출상진행술전복식호흡、유효해수급상상배편훈련，술후안계화진행조기활동화음식、용약급심리지도。관찰량조술후조기불량사건、만기병발증발생정황급각항관찰지표。결과：관찰조불량사건발생례수명현소우대조조，병발증발생솔명현저우대조조（P＜0．05）；관찰조각항지표명현우우대조조（P＜0．05）。결론：대행관상동맥방로이식술적고위관심병환자술전괄시진행훈련、술후조기활동여가강심리지도，능유효감소술후병발증，축단주원천수，촉진환자순리강복。
Objective:To investigate the effect of nursing intervention on rehabilitation of high-risk patients with coronary artery bypass grafting(CABG).Methods:60 patients with CABG were randomly divided into the control group and the observation group(30 cases in each group) .The patients in the control group were given routine nursing care and the patients in the observation group were given compre-hensive nursing care,including abdominal breathing training and the training of cough and defecation in bed before operation,and they were also given guidance on early postoperative activity,diet,medication and psychological instruction according to nursing program.The early adverse events and late complications after operation were observed in the two groups.Results:The cases of adverse events and the inci-dence of complications were significantly fewer and lower in the observation group than the control group(P<0.05);the each index was better in the observation group than the control group(P <0.05).Conclusion:The timely training,early postoperative activities and strengthened psychological guidance can effectively reduce the postoperative complications,shorten the length of hospitalization and promote the recovery of high-risk patients with CABG.