护理干预对减少体位刺激试验不良反应的效果分析  

Analysis of effect of nursing intervention for reducing the adverse effect of aldosterone postural stimulation test

作　　者：彭美娟[1] 何月嫦[1] 王筱菁[1] 

机构地区：[1]中山大学附属江门市中心医院内分泌科,广东江门529000

出　　处：《国际护理学杂志》2009年第2期176-178,共3页international journal of nursing

摘　　要：目的探讨护理干预对减少体位刺激试验不良反应的效果。方法选择做体位刺激试验的95例患者，将其随机分成对照组和试验组。试验过程中，对照组给予一般的解释后，不予任何干预。试验组试验前给予充分评估，心理干预，监测血钾水平，纠正低血钾，保证良好的睡眠和正常饮食，试验过程中严密观察，适时终止试验。比较两组出现不良反应的情况。结果不良反应中试验组头晕、面色苍白、出冷汗、恶心、呕吐的发生率分别为19．1％、17％、12．8％、14．9％;对照组分别为47．9％、37．5％、37．5％、43．8％；两组比较差异具有统计学意义（P〈0．05）。而心悸、四肢麻痹的发生率试验组和对照组的发生率分别为23．4％、10．6％和41．6％、25％，两组比较差异无统计学意义（P〉0．05）。结论护理干预可减少体位刺激试验不良反应的发生率。Objective To investigate the effect of nursing intervention on reducing the adverse effect of aldosterone postural stimulation test. Methods From March 2005 to December 2007, 95 patients need postural stimulation test for diagnosis were randomely divided into two groups, 48 patients in control group and 47 pateints in experiment group. During the test , control group was given general explanation without any intervention. However, experiment group was given sufficient evaluation, mental intervention , serum kalium monitor, correcting hypokalemic , ensuring favorable sleep and normal diet before the test and rigorous observation during the test , and stop the test in time. Then compare the adverse effects between two groups. Results The incidence of syndrome of Dizzy, pale, fast pulse, nausea and vomit in experiment group were 19. 1%, 17%, 12. 8%, 14.9% while in control group were 47.9%, 37.5%, 37.5%, 43.8%. The difference was statistical significant （ P 〈 0. 05） . The incidence of syndrome of cardiopalmus, quadriplegia in experiment group were 23.4% , 10. 6% while in control group were 41.6%, 25 %, there was no statistical significant （P 〉 0. 05 ） . Conclusion Nursing intervention can reduce the adverse effect of aldosterone postural stimulation test.

关 键 词：体位刺激试验 不良反应 护理干预 

分 类 号：R473[医药卫生—护理学]