CAJ | 학술논문

目的：探讨护理防控体系对房间隔缺损微创手术患儿预后的影响。方法选取日照市人民医院2012年1月至2014年6月收治的100例儿童房间隔缺损患儿作为研究对象,采用对照研究方法,2012年1月至2012年12月50例患儿作为对照组,采用常规护理方法；2013年1月至2014年6月50例患儿作为观察组,采用构建护理防控体系模式,比较两组护理效果及满意程度。结果观察组患儿住院天数、术后卧床时间与住院费用均显著低于对照组患儿,差异均有统计学意义(P<0．05)。观察组家长满意程度明显高于对照组,差异有统计学意义(P<0．05)；观察组术后无并发症发生,对照组1例气胸,1例胸腔积液,1例皮下积气,2例术后发热,并发症发生率为10%,差异有统计学意义(P<0．05)。结论护士在护理工作中了解儿童房间隔缺损的特点,掌握其观察及护理要点,可预见病情变化,对医生的诊治、减少患儿并发症的发生均有重要意义。
목적：탐토호리방공체계대방간격결손미창수술환인예후적영향。방법선취일조시인민의원2012년1월지2014년6월수치적100례인동방간격결손환인작위연구대상,채용대조연구방법,2012년1월지2012년12월50례환인작위대조조,채용상규호리방법；2013년1월지2014년6월50례환인작위관찰조,채용구건호리방공체계모식,비교량조호리효과급만의정도。결과관찰조환인주원천수、술후와상시간여주원비용균현저저우대조조환인,차이균유통계학의의(P<0．05)。관찰조가장만의정도명현고우대조조,차이유통계학의의(P<0．05)；관찰조술후무병발증발생,대조조1례기흉,1례흉강적액,1례피하적기,2례술후발열,병발증발생솔위10%,차이유통계학의의(P<0．05)。결론호사재호리공작중료해인동방간격결손적특점,장악기관찰급호리요점,가예견병정변화,대의생적진치、감소환인병발증적발생균유중요의의。
Objective To investigate the influence of nursing prevention and control system of minimally invasive operation on the prognosis of children with atrial septal defect( ASD) . Methods The 100 children with septal defects in Rizhao People’ s Hospital from January 2012 to June 2014 were selected as the research objects, using the control methods, the 50 patients from January 2012 to December 2012 as the control group,they were given the routine nursing method;From January 2013 to June 2014, 50 cases in the observation group were given the establishment of nursing prevention and con-trol system mode, the nursing effects and degree of satisfaction were compared between the two groups. Results The hos-pitalization time, postoperative recovery time and hospitalization costs in the observation group were lower than the those in the control group, there were significant differences ( P <0. 05 ) . The children parents ’ satisfaction of the observation group was significantly higher than that of the control group, the difference was significant (P<0. 05);there was no com-plications in the observation group, in the control group, 1 case of pneumothorax, pleural effusion in 1 case, 1 case of sub-cutaneous emphysema, 2 cases of fever after operation, the complication rate was 10%, the complication rate in the obser-vation group was significantly lower than that in the control group, there was significant difference ( P<0. 05 ) . Conclu-sions Nurses in nursing work of children with ASD should grasp the essential observation and nursing, predictable changes in condition, which have important significance in diagnosis and treatment of children and reduce complications.