CAJ | 학술논문

目的：探讨并研究循证护理在胸外科患者术后镇痛中的应用。方法将我科2012年8月至2014年8月期间收治的120例胸部外科的患者作为临床研究对象，采用随机数字表法将患者分为两组，其中对照组针对胸外科患者进行常规护理；试验组针对胸外科患者进程循证护理，对比患者经过2周护理后，对患者的临床护理效果和安全性进行比较。结果实验组采用的循证护理后患者NRS评分较低，对照组采用常规方式护理后患者NRS评分较高，两组差距较明显。且试验组患者出现的总不良反应为15.0%，对照组的总不良反应为41.6%，差距较明显，具有一定的有统计学差异（P＜0.05）。结论循证护理在胸外科患者术后镇痛效果较好，能够有效的减少患者的术后疼痛，以及不良反应，患者以及患者家属较为满意，因此值得我们在临床上进行广泛应用。
목적：탐토병연구순증호리재흉외과환자술후진통중적응용。방법장아과2012년8월지2014년8월기간수치적120례흉부외과적환자작위림상연구대상，채용수궤수자표법장환자분위량조，기중대조조침대흉외과환자진행상규호리；시험조침대흉외과환자진정순증호리，대비환자경과2주호리후，대환자적림상호리효과화안전성진행비교。결과실험조채용적순증호리후환자NRS평분교저，대조조채용상규방식호리후환자NRS평분교고，량조차거교명현。차시험조환자출현적총불량반응위15.0%，대조조적총불량반응위41.6%，차거교명현，구유일정적유통계학차이（P＜0.05）。결론순증호리재흉외과환자술후진통효과교호，능구유효적감소환자적술후동통，이급불량반응，환자이급환자가속교위만의，인차치득아문재림상상진행엄범응용。
Objective To investigate and study evidence-based nursing in thoracic surgery postoperative analgesia.Methods 120 cases of thoracic surgery patients admitted to our department from August 2012 to August 2014 period as a clinical study, using a random number table, patients were divided into two groups, one group for routine care for patients with thoracic surgery ; the test group for the process of evidence-based nursing thoracic surgery patients, compared to patients after two weeks nursing, clinical efifcacy and safety of patient care were compared.Results The experimental group used evidence-based patient care NRS score lower in the control group using conventional methods care of patients after NRS score was higher than the obvious gap between the two groups. Moreover, the total adverse reaction test group patients was 15.0%, of the total adverse reactions was 41.6%in the control group, the difference is obvious, with some statistically signiifcant (P<0.05).Conclusion Evidence-based care in thoracic surgery patients better postoperative analgesia, can effectively reduce the patient because of pain, and postoperative adverse events, and patients are more satisifed with their families, so we should be widely used in clinical practice.