以患者为中心的护患沟通在老年患者胃镜检查中的作用  

Effect of patient-centred nurse-patient communication on gastroscopy of senile patients

作　　者：黄姣娥[1] 江晋渝[2] 曾灵[2] 骆彩珍[1] 高志琼[1] 

机构地区：[1]桂林医学院护理学院护理实验教学中心,广西桂林541001 [2]贵州航天医院消化内科,贵州遵义563000

出　　处：《现代医药卫生》2014年第4期485-487,共3页Journal of Modern Medicine & Health

摘　　要：目的观察以患者为中心的护患沟通在老年患者胃镜检查中的作用。方法将2010年6月至2012年10月收治的971例胃镜检查的老年患者分为无沟通需求组(284例)和护患沟通组(687例)。无沟通需求组采用传统方式沟通,护患沟通组进行以患者为中心的护患沟通。记录两组患者体位摆放时间、胃镜检查时间、恶心次数、咽部黏膜损伤情况和胃镜检查成功率,监测患者血压和脉搏;调查两组患者心理状况、胃镜检查满意度和检查后反应。结果护患沟通组胃镜检查成功率高于无沟通需求组,差异有统计学意义(χ2=4.033,P<0.05);体位摆放时间、胃镜检查时间均较无沟通需求组缩短,差异均有统计学意义(t=21.85、60.98,P<0.01)。与无沟通需求组比较,护患沟通组患者对胃镜检查满意度升高,差异有统计学意义(χ2=59.290,P<0.01)。胃镜检查时,两组患者血压、脉搏较检查前均明显升高,且护患沟通组检查时血压和脉搏低于无沟通需求组,差异均有统计学意义(P<0.01)。胃镜检查时,在心理状态Ⅲ、Ⅳ级中,护患沟通组患者的比例均低于无沟通需求组,差异均有统计学意义(χ2=4.280,P=0.039;χ2=4.033,P=0.045)。两组患者不良反应发生率比较,差异无统计学意义(χ2=0.047,P=0.828)。结论以患者为中心的护患沟通是一种促进老年患者胃镜检查顺利进行的有效方式。Objective To investigate the effect of patient-centered nurse-patient communication on gastroscopy of senile patients. Methods A total of 971 senile patients with gastroseopy,who were enrolled from June 2010 to October 2012,were di vided into non-communication-needed group （NC group, n=284） and patient-centered nurse-patient communication group （PNC group,n =687）. Traditional communication was used in NC group,and patient-centered nurse-patient communication in PNC group. Position settling time of patients, endoscopy time, nausea times, pharyngeal mucosa damage and success rate of gastroscopy in both groups were recorded. Blood pressure and pulse of all cases were monitored during gastroseopy. Investigation was conduct- ed in patients on psychological status, satisfaction and adverse reaction. Results The gastroscopy success rate of gastroscopy in PNC group was higher than that in NC group with statistically significant difference 0（2=4.033, P〈0.05 ）. Position settling time and endoscopy time of patients in PNC group were significantly shorter than those in NC group with statistically significant difference （t=21.85,60.98 ,P〈0.01 ）. Comparing with NC group, the satisfaction of patients to gastroseopy examination in PNC group was in- creased with statistically significant difference 0（2=59.290, P〈0.0I ）. Patients＇ blood pressure and pulse during gastroscopy were significantly higher than those before the examination in two groups, and blood pressure and pulse in PNC group were lower than those in NC group with statistically significant difference （P〈0.01）. The proportion of patients in PNC group was significantly low- er than that in NC group on the psychological state of Grade m and grade ]V, and the difference had statistical significance （X2= 4.280 ,P=-0.039 ;）（2=4.033 ,P=0.045 ）. The difference of occurrence rate of adverse reaction between the two groups was not statisti cally significant （k2=0.047 ,P=0.828）. Conclusion Patient-centered nurse-patient communication

关 键 词：胃镜检查 护理 护士病人关系 老年人 

分 类 号：R473.6[医药卫生—护理学]