CAJ | 학술논문

目的：探讨舒适护理对降低高龄食管癌患者术后心律失常的效果评价。方法将2009年5月～2013年5月我院172例65岁以上食管癌手术患者分为对照组88例和观察组84例。对照组给予食管癌常规护理，观察组在此基础上全面落实护理责任制，实施舒适护理，比较两组发生术后心律失常的情况。结果两组患者术后心律失常发生率有显著差异（P＜0.05)。结论围术期舒适护理能有效防止或减少高龄食管癌患者术后心律失常的发生，减轻患者痛苦，提高患者满意度，整体提升护理服务水平。
목적：탐토서괄호리대강저고령식관암환자술후심률실상적효과평개。방법장2009년5월～2013년5월아원172례65세이상식관암수술환자분위대조조88례화관찰조84례。대조조급여식관암상규호리，관찰조재차기출상전면락실호리책임제，실시서괄호리，비교량조발생술후심률실상적정황。결과량조환자술후심률실상발생솔유현저차이（P＜0.05)。결론위술기서괄호리능유효방지혹감소고령식관암환자술후심률실상적발생，감경환자통고，제고환자만의도，정체제승호리복무수평。
Objective To explore and evaluate the effects of comfort nursing care on reducing postoperative arrhythmia for elderly patients with esophageal cancer. Methods 172 patients who were 65 years of age or above and received esophageal cancer operation in our hospital from May 2009 to May 2013 were selected and assigned to a control group(88 patients) and an observation group(84 patients). The control group received a regular nursing for esophageal cancer, while the observation group, based on the regular nursing, received a comfort nursing via a comprehensive responsibility system. Incidence of postoperative arrhythmia was compared between the two groups. Results The difference of the incidence of postoperative arrhythmia between the two groups was statistically significant(P < 0.05). Conclusion The perioperative comfort nursing care effectively prevents or reduces the incidence of postoperative arrhythmia for elderly patients with esophageal cancer. It alleviates patients' pains, meets their satisfaction and improves the nursing service overall.