CAJ | 학술논문

目的：探讨脑出血急性期应用丹参酮所面临的医疗护理伦理问题与防范。方法：选取2009年1月-2012年1月本科收治的符合条件的126例急性脑出血患者，按照随机数字表法将其分为试验组59例和对照组67例，两组均给予常规治疗，试验组于发病后72 h在常规治疗基础上给予丹参酮治疗并实施护理：严密观察病情，处事果敢自信，临危不乱；指导家属协助并参与床边护理；人文健教，正确引导，积极化解矛盾。结果：入选患者均未发生重大并发症；未发生任何重大医患冲突与纠纷。试验组的临床疗效（NIHSS评分）和病程均明显优于对照组，比较差异均有统计学意义（P<0.01）。结论：医疗探索及临床科研承担了一定的伦理风险，而护士又被置于须配合医生执行治疗指令又要面对患者的责难、与其解释沟通的两难境地。为规避风险，护理人员要坚持基本伦理原则，且须具备一定的素养。重视医疗护理中的伦理问题，有助弥补工作中的缺陷及课题顺利开展。
목적：탐토뇌출혈급성기응용단삼동소면림적의료호리윤리문제여방범。방법：선취2009년1월-2012년1월본과수치적부합조건적126례급성뇌출혈환자，안조수궤수자표법장기분위시험조59례화대조조67례，량조균급여상규치료，시험조우발병후72 h재상규치료기출상급여단삼동치료병실시호리：엄밀관찰병정，처사과감자신，림위불란；지도가속협조병삼여상변호리；인문건교，정학인도，적겁화해모순。결과：입선환자균미발생중대병발증；미발생임하중대의환충돌여규분。시험조적림상료효（NIHSS평분）화병정균명현우우대조조，비교차이균유통계학의의（P<0.01）。결론：의료탐색급림상과연승담료일정적윤리풍험，이호사우피치우수배합의생집행치료지령우요면대환자적책난、여기해석구통적량난경지。위규피풍험，호리인원요견지기본윤리원칙，차수구비일정적소양。중시의료호리중적윤리문제，유조미보공작중적결함급과제순리개전。
Objective:To explore the ethical issues and its effective prevention in medical care of applying tanshinone in the acute stage of cerebral hemorrhage.Method:126 cases of the acute cerebral hemorrhage were selected in our hospital from January 2009 to January 2012,they were randomly divided into the experimental group for 59 cases and the control group for 67 cases.Two groups were given conventional treatment,the experimental group was given tanshinone therapy and nursing after onset at 72 h on the basis of routine treatment:careful observation of disease,work confidently and unflappable;guide the family assistance and participation in bedside care;humanistic health education,correct guidance,and actively resolve contradictions.Result:The selected patients had no major complications;and without any significant doctor-patient conflicts and disputes. The clinical efficacy(NIHSS score)and duration of the experimental group were significantly better than the control group,there were statistically significant differences(P<0.01).Conclusion:Medical exploration and clinical research have some ethical risks.Nurses have to deal with complain and incomprehension of patients,meanwhile they have to cooperate and follow the treat instructions of doctors.To effectively avoiding these risks,nurses should adhere to the basic ethical principles,and should possess professional qualities.Pay attention to ethical issues in medical care has benefits to make up the defect in medical research and promote the project progress smoothly.