CAJ | 학술논문

目的：探讨预见性护理在老年重症心肌梗死患者中的应用价值。方法将56例老年重症心肌梗死患者随机分为研究组和对照组各28例。对照组采用常规护理，即不良心理、并发症、便秘等均在发生后再对症进行护理；研究组采用预见性护理，在各类心理和生理不良反应出现前，于患者入院时起，即密切监视，预防不良心理和各类并发症的发生。结果研究组患者并发症发生率、便秘发生率和病死率均显著低于对照组，差异具有统计学意义（P ＜0．05）。研究组患者抑郁评分和焦虑评分均极显著低于对照组，说明研究组患者的心理状态优于对照组，差异具有统计学意义（P ＜0．01）。结论预见性护理对老年重症心肌梗死患者具有较好的应用价值，可降低并发症发生率、便秘发生率和病死率，并有利于患者保持良好的心态。
목적：탐토예견성호리재노년중증심기경사환자중적응용개치。방법장56례노년중증심기경사환자수궤분위연구조화대조조각28례。대조조채용상규호리，즉불양심리、병발증、편비등균재발생후재대증진행호리；연구조채용예견성호리，재각류심리화생리불량반응출현전，우환자입원시기，즉밀절감시，예방불양심리화각류병발증적발생。결과연구조환자병발증발생솔、편비발생솔화병사솔균현저저우대조조，차이구유통계학의의（P ＜0．05）。연구조환자억욱평분화초필평분균겁현저저우대조조，설명연구조환자적심리상태우우대조조，차이구유통계학의의（P ＜0．01）。결론예견성호리대노년중증심기경사환자구유교호적응용개치，가강저병발증발생솔、편비발생솔화병사솔，병유리우환자보지량호적심태。
Objective To explore the value of predictive nursing of elderly patients with se-vere myocardial infarction.Methods A total of 56 patients with severe myocardial infarction ran-domized into study group and control group with 28 cases in each group.The control group used conventional nursing,including symptomatic in nursing after adverse psychology,complications and constipation,and study group applied predictive nursing including closely monitoring and pre-vention of adverse psychology and various complications on admission.Results The incidence of complications,constipation and mortality in the study group was significantly lower than that in the control group ,the differences between the two groups were statistically significant (P <0.05).The depression scores and anxiety scores were significantly lower than that in the control group,which indicated that the psychological state in the study group was better than that in the control group,the difference was statistically significant (P <0.01).Conclusion It is of great value for the elderly patients with severe myocardial infarction applied predictive nursing and it can reduce the incidence of complications,constipation and mortality,and help patients to maintain good metal status.