CAJ | 학술논문

目的：探讨肾内科老年患者可能存在的护理安全隐患，实施针对性护理对策。方法选取肾内科73例老年患者为研究对象。采用随机数字表法分为对照组（n＝36）和观察组（n＝37），对照组行常规肾内科对症护理，观察组在此基础上实施针对性安全护理。治疗1周后比较两组患者恢复情况。结果观察组治疗总有效率为94．6％，对照组为88．9％，两组患者整体恢复情况比较，差异有统计学意义（Z＝29．14，P＜0．01）；观察组患者出现感染6例、水肿16例，对照组患者出现感染14例、水肿24例，两组比较差异有统计学意义（χ2值分别为4．660，3．902；P＜0．05）。结论合理有效的护理可以改善肾内科老年患者的恢复情况，降低感染和水肿的发病率，对于减少患者的安全隐患意义重大。
목적：탐토신내과노년환자가능존재적호리안전은환，실시침대성호리대책。방법선취신내과73례노년환자위연구대상。채용수궤수자표법분위대조조（n＝36）화관찰조（n＝37），대조조행상규신내과대증호리，관찰조재차기출상실시침대성안전호리。치료1주후비교량조환자회복정황。결과관찰조치료총유효솔위94．6％，대조조위88．9％，량조환자정체회복정황비교，차이유통계학의의（Z＝29．14，P＜0．01）；관찰조환자출현감염6례、수종16례，대조조환자출현감염14례、수종24례，량조비교차이유통계학의의（χ2치분별위4．660，3．902；P＜0．05）。결론합리유효적호리가이개선신내과노년환자적회복정황，강저감염화수종적발병솔，대우감소환자적안전은환의의중대。
Objective To analyze the common diseases in elderly patients with security risks in Nephrology, and to make clear the role of targeted nursing .Methods Seventy-three patients treated in renal medicine in our hospital were chose as the research objects .All patients were randomly divided into control group , with 36 cases, and observation group , with 37 cases.The control group was given symptomatic treatment , while observation group was given a targeted nursing method on the basis of the patients′condition.The recovery condition of the two groups after one week′s treatment was compared .Results The effect rate was 94.6% of observation group, and 88.9%of the control group, there was statistical significance between the two groups (Z=29.14,P<0.01).6 patients in observation group had infection, 16 patients had swelling.Those numbers of patients in the control group were 14 and 24.The differences were statistically significant (χ2 =4.660,3.902, respectively;P<0.05).Conclusions Rational and effective care can improve the recovery effect in elderly patients and reduce the incidence of infection and swelling .It is helpful to reduce the nursing risks in nephrology department .