CAJ | 학술논문

目的：探讨舒适护理对胸外科电视胸腔镜术后患者焦虑程度的影响。方法将148例胸心外科胸腔镜术患者随机分为对照组75例和观察组73例，对照组执行常规护理方法，观察组执行舒适护理方法，比较两组患者术前和术后焦虑程度。结果术前1 d两组患者SAS评分均有升高，平均（55．58±12．33）分；两组患者焦虑程度比较，差异无统计学意义（χ2＝0．7，P＞0．05）。术后7 d观察组患者中无焦虑16．44％，轻度焦虑61．64％，中度焦虑17．81％，重度焦虑4．11％，对照组分别为13．33％，13．33％，70．67％，2．67％，两组比较差异有统计学意义（χ2＝46．88，P＜0．05）。结论舒适护理能增进胸外科患者术后护患沟通，减轻术后患者焦虑程度，有助于促进患者术后康复，提高护理质量。
목적：탐토서괄호리대흉외과전시흉강경술후환자초필정도적영향。방법장148례흉심외과흉강경술환자수궤분위대조조75례화관찰조73례，대조조집행상규호리방법，관찰조집행서괄호리방법，비교량조환자술전화술후초필정도。결과술전1 d량조환자SAS평분균유승고，평균（55．58±12．33）분；량조환자초필정도비교，차이무통계학의의（χ2＝0．7，P＞0．05）。술후7 d관찰조환자중무초필16．44％，경도초필61．64％，중도초필17．81％，중도초필4．11％，대조조분별위13．33％，13．33％，70．67％，2．67％，량조비교차이유통계학의의（χ2＝46．88，P＜0．05）。결론서괄호리능증진흉외과환자술후호환구통，감경술후환자초필정도，유조우촉진환자술후강복，제고호리질량。
Objective To investigate the effect of comfort care on patients ’ anxiety after video-assisted thoracoscope surgery ( VATS) .Methods 148 patients were randomly divided into the control group ( n=75 ) and the observation group ( n=73 ) .The control group performed routine nursing care , while the observation group performed special comfort care .Patients ’ anxiety on 1 day before operation and 7 days after operation were compared between groups .Results Patients’ mean score of anxiety on 1 day before operation was (55.58 ± 12.33).There was no significant difference between groups (χ2 =0.7, P>0.05).For the patients in the observation group, 16.44%had no anxiety, 61.64%had a mild anxiety, 17.81%had a moderate anxiety, and 4.11%had a severe anxiety 7 days after operation.For the patients in the control group , 13.33% had no anxiety, 13.33%had a mild anxiety, 70.67%had a moderate anxiety, and 2.67%had a severe anxiety 7 days after operation.The difference was significant (χ2 =46.88, P <0.05).Conclusions The comfort care intervention can improve the nurse-patient communication and can reduce the degree of anxiety . It also contributes to promoting the postoperative rehabilitation of patients and improving the quality of nursing care .