CAJ | 학술논문

目的：探讨分析高龄前列腺增生手术患者护理风险因素，并研究其对策。方法：选取2010年4月~2013年3月589例高龄前列腺增生手术患者为研究对象，分析其与护理不良情况发生率的相关性。结果：589例患者共发生14例不良情况，发生率为2.38%，主要以穿刺失败发生率最高，明显高于其他不良情况，其中不同时间段、年龄段、疾病知识掌握程度及责任护士护龄、沟通情况与不良情况发生率也较高，经Logistic分析显示，≥80岁、交接班及夜班时、疾病知识掌握较差、责任护士护龄<5年及沟通较差为高危因素。结论：高龄前列腺增生手术患者护理风险因素包括护理人员与患者两方面的因素，针对这些因素给予相应的处理。
목적：탐토분석고령전렬선증생수술환자호리풍험인소，병연구기대책。방법：선취2010년4월~2013년3월589례고령전렬선증생수술환자위연구대상，분석기여호리불량정황발생솔적상관성。결과：589례환자공발생14례불량정황，발생솔위2.38%，주요이천자실패발생솔최고，명현고우기타불량정황，기중불동시간단、년령단、질병지식장악정도급책임호사호령、구통정황여불량정황발생솔야교고，경Logistic분석현시，≥80세、교접반급야반시、질병지식장악교차、책임호사호령<5년급구통교차위고위인소。결론：고령전렬선증생수술환자호리풍험인소포괄호리인원여환자량방면적인소，침대저사인소급여상응적처리。
Objective:To investigate and analyze the nursing risk factors of elderly patients with prostatic hyperplasia operation,and study its countermeas-ure. Methods:589 elderly patients with prostatic hyperplasia operation from April 2010 to March 2013 were selected as research object,then the incidence of nursing related adverse circumstances were analyzed,and the rate of different nursing and patients factors were compared,then the correction between the ad-verse circumstances incidence and those fctors was analyzed too. Results:14 cases of 589 patients were with adverse circumstances,the rate was 2. 38%,and the puncture failure rate was the highest,and it was obviously higher than those of others,and the rates of different times,ages,degree of disease knowledge mastering and nursing age,communication state had obvious differences to,the age more than 80 years old,at the time of shift and night,worse disease knowledge mastering and nursing age less than 5 years,worse communication were all the risk factors by Logistic analysis,all P<0. 05,there were all signifi-cant differences. Conclusion:The nursing risk factors of elderly patients with prostatic hyperplasia operation include the nursing and patients factors, and these factors should be paid targeted intervention.