循证护理模式对改善无痛胃镜检查患者不良情绪及治疗配合度的效果评价  

Effect evaluation of evidence-based nursing for improvement of unhealthy emotion and treatment compliance of patients undergoing painless gastroscopy

作　　者：靳玉红[1] 贺新禹[2] 常廷民[1] 李琨[1] 

机构地区：[1]新乡医学院第一附属医院,卫辉453000 [2]新乡医学院基础医学院

出　　处：《中国实用护理杂志》2012年第7期11-13,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨循证护理模式对改善无痛胃镜检查患者不良情绪以及治疗配合度的效果。方法以2008年5月至2010年12月进行无痛胃镜检查治疗的138例患者作为研究对象，按照患者及家属自愿的原则，将患者分为循证护理组70例和常规心理护理组68例。同时对2组患者的临床护理效果满意度、不良情绪以及治疗过程中的配合度改善状况采用SAS和SDS量表进行评价，并对结果进行比较。结果循证护理组患者的临床护理效果满意度为92．86％，显著高于常规心理护理组的79．41％；治疗前2组的SAS和SDS评分比较无显著差异；2组治疗后不良情绪及治疗配合度与治疗前比较均有明显的改善，但循证护理组的改善程度更加显著。结论循证护理模式在无痛胃镜检查患者不良情绪及治疗过程中配合度改善方面与常规的心理护理模式比较具有更加明显的优势及临床实践价值，值得临床上扩大推广范围，更有利于患者生存质量的提高。Objective To discuss the effect of evidence-based nursing in improvement of unhealthy emotion and treatment compliance of patients undergoing painless gastroscopy. Methods 134 patients from May 2008 to December 2010 undergoing painless gastroscopy were chosen as study object. According to voluntariness of the patients and their families, they were divided into the evidence-based nursing group （70 cases） and the routine psychological care group （68 cases）. The satisfaction degree with nursing, unhealthy emotion, and the compliance during treatment process were evaluated with SAS and SDS. Results The satisfaction degree of patients in the evidence- based nursing group was 92.86%, higher than 79.41% in the routine psychological care group. No significant difference was shown in SAS and SDS score before treatment between two groups, but unhealthy emotion and treatment compliance after treatment significantly improved, and the improvement degree of the evidence-based nursing group was more evident. Conclusions Application of evidence-based care model in painless gastroscopy has more obvious advantages in improvement of unhealthy emotions and treatment compliance compared with routine nursing. It has more important value for clinical practice and is more conducive to improve the quality of life of patients.

关 键 词：循证护理 心理护理 模式 不良情绪 配合度 

分 类 号：R473.5[医药卫生—护理学]