CAJ | 학술논문

目的：分析循证护理在先天性心脏病修补术围手术期的应用效果。方法对2010年6月~2014年1月我院行心脏修补术的130例先天性心脏病患儿随机分为对照组和观察组各65例。对照组采用常规护理，观察组则根据循证医学模式进行循证护理。比较两组间手术效果、住院时间差异及并发症发生率差异。结果观察组患者治愈率显著高于对照组，住院时间显著短于对照组，心功能等级为Ⅰ级的病例数亦显著高于对照组（P＜0.05）。观察组总并发症发生率为24.62%，低于对照组的69.23%，观察组肺动脉高压、心律失常、血栓形成等并发症的发生率显著低于对照组（P＜0.05）。结论在先天性心脏病修补术围手术期应用循证护理能有效降低并发症的发生率并提高手术的成功率。
목적：분석순증호리재선천성심장병수보술위수술기적응용효과。방법대2010년6월~2014년1월아원행심장수보술적130례선천성심장병환인수궤분위대조조화관찰조각65례。대조조채용상규호리，관찰조칙근거순증의학모식진행순증호리。비교량조간수술효과、주원시간차이급병발증발생솔차이。결과관찰조환자치유솔현저고우대조조，주원시간현저단우대조조，심공능등급위Ⅰ급적병례수역현저고우대조조（P＜0.05）。관찰조총병발증발생솔위24.62%，저우대조조적69.23%，관찰조폐동맥고압、심률실상、혈전형성등병발증적발생솔현저저우대조조（P＜0.05）。결론재선천성심장병수보술위수술기응용순증호리능유효강저병발증적발생솔병제고수술적성공솔。
Objective To explore the application effect of evidence-based nursing in perioperative period of repair surgery of con-genital heart disease. Methods 130 children with congenital heart disease receiving repair surgery during the period from June, 2010 to Jan., 2014 were randomly divided into 2 groups:observation group and control group, 65 cases in each;evidence-based nursing was per-formed to cases in observation group while routine nursing to cases in control group;the effect of surgery, the time length of hospitaliza-tion and the occurrence of complication in the 2 groups were comparatively studied. Results The cure rate in observation group was much higher than that in control group;the time of hospitalization in observation group was shorter than that in control group;the case number of cardiac function grade Level I in observation group was bigger than that in control group (P<0.05);the total occurrence of complications in observation group was 24.62%, much lower than that in control group (69.23%);the occurrence of pulmonary hyperten-sion, arrhythmia, thrombosis and other complications in observation group was much lower than that in control group (P<0.05). Conclu-sions The application of evidence-based nursing in perioperative period of repair surgery of congenital heart disease can effectively de-crease the occurrence of complications and raise the success rate of the surgery.