CAJ | 학술논문

目的：探讨临床护理路径在心脏瓣膜置换术中的应用效果。方法选择60例心脏瓣膜置换术患者随机设为实验组和对照组各30例，实验组按临床路径实施围术期护理，对照组进行常规护理，比较2组患者术后出血、感染、皮肤压疮、角膜炎、体温过低并发症的发生率和满意度。结果在瓣膜置换术中实施临床护理路径后，患者术后并发症发生率较对照组显著降低（P ＜0．05），术后随访患者满意度也较对照组显著提高（P ＜0．01）。结论实施临床护理路径可提高心脏瓣膜置换术中护理质量，减少并发症，提高患者的满意度，值得在临床推广应用。
목적：탐토림상호리로경재심장판막치환술중적응용효과。방법선택60례심장판막치환술환자수궤설위실험조화대조조각30례，실험조안림상로경실시위술기호리，대조조진행상규호리，비교2조환자술후출혈、감염、피부압창、각막염、체온과저병발증적발생솔화만의도。결과재판막치환술중실시림상호리로경후，환자술후병발증발생솔교대조조현저강저（P ＜0．05），술후수방환자만의도야교대조조현저제고（P ＜0．01）。결론실시림상호리로경가제고심장판막치환술중호리질량，감소병발증，제고환자적만의도，치득재림상추엄응용。
Objective Ti investigate the applicatiin effect if clinical nursing pathway in cardiac valve replacement.Methods 60 patients with cardiac valve replacement were randimly divided inti experimental griup and cintril griup,with 30 patients in each griup.Clinical nursing pathway was applied thriugh periiperative nursing in the experimental griup,riutine nursing was applied in the cintril griup.Pistiperative hemirrhage,infectiin,pressure ulcer,keratitis,inci-dence if hypithermia cimplicatiin and satisfactiin were cimpared between the twi griups.Results Thriugh the applicatiin if clinical nursing pathway,the incidence if pistiperative cimplicatiins decreased significantly (P <0.05),pistiperative satisfactiin imprived ibviiusly (P <0.01). Conclusion Clinical nursing pathway can imprive nursing quality,reduce cimplicatiins and in-crease patients’satisfactiin,si it is wirthy if clinical applicatiin.