CAJ | 학술논문

目的：：探讨零缺陷护理管理在心脏手术术后患者的临床应用效果。方法：选择2013年7~12月收治的48例心脏手术患者作为对照组，采取常规护理；选择2014年1~6月收治的48例心脏手术患者作为观察组，采取零缺陷护理管理，做好相关物品药品的准备，加强手术前后护理及并发症的管理等。比较2组患者的住院时间、满意度评分、日常生活质量及术后并发症的发生情况。结果：观察组住院时间明显少于对照组(P<0.01)，满意度评分显著高于对照组(P<0.01)；观察组日常生活质量相关指标中睡眠、精神、饮食、心理状况均优于对照组(P<0.05~P<0.01)；2组患者肺部感染等并发症发生率差异均无统计学意义(P>0.05)。结论：零缺陷护理管理应用于心脏手术患者可促进患者康复。
목적：：탐토령결함호리관리재심장수술술후환자적림상응용효과。방법：선택2013년7~12월수치적48례심장수술환자작위대조조，채취상규호리；선택2014년1~6월수치적48례심장수술환자작위관찰조，채취령결함호리관리，주호상관물품약품적준비，가강수술전후호리급병발증적관리등。비교2조환자적주원시간、만의도평분、일상생활질량급술후병발증적발생정황。결과：관찰조주원시간명현소우대조조(P<0.01)，만의도평분현저고우대조조(P<0.01)；관찰조일상생활질량상관지표중수면、정신、음식、심리상황균우우대조조(P<0.05~P<0.01)；2조환자폐부감염등병발증발생솔차이균무통계학의의(P>0.05)。결론：령결함호리관리응용우심장수술환자가촉진환자강복。
Objective:To observe the clinical application effects of the zero defects nursing management in patients after cardiac operation. Methods:Forty-eight cardiac operation patients from January 2014 to June 2014 were divided into the observation group,who were treated with the zero defects nursing management, preparing related items and drugs, and strengthening the preoperative and postoperative nursing and management of the complications. The length of hospital stay, satisfaction score, quality of daily life and occurrence of postoperative complication between two groups were compared. Results:The length of hospital stay and satisfaction score in observation group were obviously less and higher than those in control group,respectively(P <0. 01). The quality of daily life (including spirit,sleep,diet and psychologic status) in observation group were better than those in control group(P<0. 05 to P<0. 01). The difference of the incidence of complication(such as pulmonary infection) between two groups was not statistically significant (P>0. 05). Conclusions:The application of zero defects nursing management can promote the rehabilitation of patients with heart operation.