CAJ | 학술논문

目的：探讨经皮穿刺冠状动脉造影及支架植入的患者围术期循证护理的效果。方法136例患者随机分为干预组和对照组各68例，对照组采用传统护理措施，干预组采用循证护理干预，比较两组术后24、48、72 h舒适度，并发症和护理满意度。结果术后24、48、72 h干预组舒适量表（GCQ）各维度评分及总分均显著高于对照组（均P＜0.05）。干预组腰痛、尿潴留、低血压的发生率显著低于对照组（P＜0.05）。干预组患者对护理的满意度显著高于对照组（P＜0.05）。结论循证护理有效提高对经皮冠状动脉介入患者围术期的护理技能和针对性，减少腰痛、尿潴留和低血压的发生，显著提高患者术后舒适度和护理满意度，值得推广。
목적：탐토경피천자관상동맥조영급지가식입적환자위술기순증호리적효과。방법136례환자수궤분위간예조화대조조각68례，대조조채용전통호리조시，간예조채용순증호리간예，비교량조술후24、48、72 h서괄도，병발증화호리만의도。결과술후24、48、72 h간예조서괄량표（GCQ）각유도평분급총분균현저고우대조조（균P＜0.05）。간예조요통、뇨저류、저혈압적발생솔현저저우대조조（P＜0.05）。간예조환자대호리적만의도현저고우대조조（P＜0.05）。결론순증호리유효제고대경피관상동맥개입환자위술기적호리기능화침대성，감소요통、뇨저류화저혈압적발생，현저제고환자술후서괄도화호리만의도，치득추엄。
Objective To evaluate the effect of evidence- based nursing for patients receiving percutaneous coronary intervention and stent implantation. Methods A total of 136 patients with coronary heart disease were randomly divided into the intervention group (n = 68) and the control group (n = 68). Traditional nursing measures were employed for the patients of the control group , while evidence-based nursing intervention was adopted for the patients of the intervention group. The patient’s comfortableness, satisfaction and the occurrence of complications were determined at 24, 48 and 72 hours after the operation, and the results were compared between the two groups. Results At 24, 48 and 72 h after percutaneous coronary intervention, the each dimension score of GCQ and the total score of the intervention group were significantly higher than those of the control group (P<0.05). The occurrence of back pain, urinary retention and hypotension in the intervention group was significantly lower than those of the control group (P < 0.05). Patient’s satisfaction extent of the intervention group was significantly better than that of the control group (P < 0.05). Conclusion Evidence-based nursing intervention can effectively enhance the nursing skill and orientation, and reduce the occurrence of back pain, urinary retention and hypotension, thus improve patient’s comfortableness and satisfaction. Therefore, evidence - based nursing intervention should be recommended in clinical practice.