CAJ | 학술논문

目的：评价护理目标管理在人感染H7N9禽流感重症肺炎患者体外膜肺氧合（ ECMO）治疗中的应用效果。方法制定保证患者在应用ECMO治疗期间机器运转正常、无护理并发症发生的总目标，然后根据总目标制定8个具体的分目标，针对每一个目标落实各项护理措施。结果各项护理目标圆满达标，患者在应用ECMO治疗153 h期间仪器运行顺畅，无脱管、栓塞及溶血、血栓形成、压疮等相关的护理并发症发生，顺利脱机。结论护理目标管理可使护理工作目标导向明确，有效避免工作中的盲目性和主观性，是ECMO治疗成功的有力保障。
목적：평개호리목표관리재인감염H7N9금류감중증폐염환자체외막폐양합（ ECMO）치료중적응용효과。방법제정보증환자재응용ECMO치료기간궤기운전정상、무호리병발증발생적총목표，연후근거총목표제정8개구체적분목표，침대매일개목표락실각항호리조시。결과각항호리목표원만체표，환자재응용ECMO치료153 h기간의기운행순창，무탈관、전새급용혈、혈전형성、압창등상관적호리병발증발생，순리탈궤。결론호리목표관리가사호리공작목표도향명학，유효피면공작중적맹목성화주관성，시ECMO치료성공적유력보장。
Objective To evaluate the treatment effect of management by nursing objectives in the extracorporeal membrane oxygenation ( ECMO) treatment on the first case of avian influenza H7N9 infection patient with severe pneumonia .Methods The overall goal was to ensure ECMO machine running smoothly and without any nursing complications . According to the overall objective , eight specific sub-objectives were developed .Various care measures were implemented in accordance with the eight specific sub -objectives . Results During the 153 hours of ECMO treatment , the machine ran smoothly without the occurrence of detachment, embolism and hemolysis, thrombosis, pressure sores or any other nursing complications .The patient was successfully off-line.Conclusions Management by nursing objectives makes the nursing goal orientate clearly and effectively , which avoids the blindness and subjectivity during work .It is a strong guarantee for the success of ECMO treatment and should be widely applied .