CAJ | 학술논문

目的：探讨应用预见性护理措施降低股动脉穿刺点局部血肿的发生率的作用。方法研究对象分为对照组和干预组，通过对回顾性调查605例股动脉穿刺介入诊疗患者（对照组）术后穿刺点局部血肿发生的危险因素，设计风险评估观察表，对322例患者（干预组）采用风险评估、护士规范化专业培训，个体化健康指导及改进护理用具等预见性护理措施，进行前瞻性干预，观察两组间血肿发生率的差异。结果两组的人口学资料和临床资料差异无统计学意义，干预组血肿发生率较对照组明显降低分别为2.17%（7/322）和5.12%（31/605），差异有统计学意义（χ2=4.652，P<0.05），血肿发生严重程度两组无显著性差异。结论预见性护理措施可以有效降低股动脉穿刺点局部血肿的发生率。
목적：탐토응용예견성호리조시강저고동맥천자점국부혈종적발생솔적작용。방법연구대상분위대조조화간예조，통과대회고성조사605례고동맥천자개입진료환자（대조조）술후천자점국부혈종발생적위험인소，설계풍험평고관찰표，대322례환자（간예조）채용풍험평고、호사규범화전업배훈，개체화건강지도급개진호리용구등예견성호리조시，진행전첨성간예，관찰량조간혈종발생솔적차이。결과량조적인구학자료화림상자료차이무통계학의의，간예조혈종발생솔교대조조명현강저분별위2.17%（7/322）화5.12%（31/605），차이유통계학의의（χ2=4.652，P<0.05），혈종발생엄중정도량조무현저성차이。결론예견성호리조시가이유효강저고동맥천자점국부혈종적발생솔。
Objective To discuss the application of prospective risk nursing measures in reducing the occurrence of postoperative local hematoma at femoral artery puncture site. Methods A total of 605 patients receiving femoral artery puncture for interventional management were collected as the control group , and 322 patients were used as the intervention group. The risk factors causing postoperative local hematoma at femoral artery puncture site in the control group were recorded, and based on which risk estimation survey table was designed. According to risk estimation survey, the prospective intervention measures, including risk assessment, standardization of professional training, individual health education, the improvement of care appliance, etc. were carried out for the patients of the intervention group. The occurrences of postoperative local hematoma at femoral artery puncture site were recorded and the results were compared between the two groups. Results No statistically significant differences in demographic and clinical data existed between the two groups. However, the incidence of hematoma in the intervention group was significantly lower than that in the control group (χ2 = 4.652, P < 0.05), although the difference in the severity of hematoma was not significant between the two groups. Conclusion The use of prospective risk nursing measures can effectively reduce the incidence of postoperative hematoma at femoral artery puncture site.