CAJ | 학술논문

目的：探讨集束化护理在主动脉球囊反搏治疗中的应用效果。方法选取CCU应用主动脉球囊反搏治疗的患者240例，按照随机数字表法分为对照组和试验组，每组120例。对照组采取常规护理措施；试验组进行集束化护理，内容包括加强风险评估、完善基础护理、正确给予抗凝治疗、拔管时的配合及心理护理。观察两组患者的并发症情况及平均住院时间。结果试验组患者并发症总体发生率为10．0％，低于对照组的20．8％，差异有统计学意义（χ2＝5．40， P ＜0．05）；平均住院时间为（10．55±2．19）d，少于对照组的（17．65±2．21） d，差异有统计学意义（t ＝-10．217，P ＜0．05）。结论在主动脉球囊反搏治疗中应用集束化护理能有效减少患者并发症的发生，缩短患者在CCU的住院时间，对提高医疗及护理质量有积极的意义。
목적：탐토집속화호리재주동맥구낭반박치료중적응용효과。방법선취CCU응용주동맥구낭반박치료적환자240례，안조수궤수자표법분위대조조화시험조，매조120례。대조조채취상규호리조시；시험조진행집속화호리，내용포괄가강풍험평고、완선기출호리、정학급여항응치료、발관시적배합급심리호리。관찰량조환자적병발증정황급평균주원시간。결과시험조환자병발증총체발생솔위10．0％，저우대조조적20．8％，차이유통계학의의（χ2＝5．40， P ＜0．05）；평균주원시간위（10．55±2．19）d，소우대조조적（17．65±2．21） d，차이유통계학의의（t ＝-10．217，P ＜0．05）。결론재주동맥구낭반박치료중응용집속화호리능유효감소환자병발증적발생，축단환자재CCU적주원시간，대제고의료급호리질량유적겁적의의。
Objective To explore the application effect of cluster nursing in the treatment of intra-aortic balloon counter pulsation .Methods Two hundred and forty patients with the treatment of intra-aortic balloon counter pulsation in CCU were chosen and divided into the observation group and the control group according to random number table , each with 120 cases.The control group received the routine nursing , and the observation group received the cluster nursing including strengthening risk evaluation , improving basic nursing , proper anticoagulant therapy , cooperation nursing and psychological nursing of extubation .The complications and average hospitalization time in patients of the two groups were observed .Results The overall incidence rate of complications in the observation group was 10.0%, and were lower than 20.8% in the control group, and the difference was statistically significant (χ2 =5.40, P <0.05).The average length of hospital stays was (10.55 ±2.19) d in the observation group, and was less than (17.65 ±2.21) d in the control group, and the difference was statistically significant (t=-10.217, P<0.05).Conclusions Application of cluster nursing in the treatment of intra-aortic balloon counter pulsation can effectively reduce the incidence of complications , and shorted the hospital stays in CCU , and has a positive significance to improve the quality of medical and nursing.