优质护理对胃镜治疗上消化道出血患者心理和生理的影响  

Physiological and psychological effects of quality care in patients with upper gastrointestinal bleeding undergoing gastroscopy

作　　者：霍云英[1] 

机构地区：[1]北华大学附属医院门诊注射室,吉林省吉林市132001

出　　处：《世界华人消化杂志》2014年第31期4835-4839,共5页World Chinese Journal of Digestology

摘　　要：目的:分析优质护理对胃镜治疗上消化道出血患者心理和生理的影响.方法:选取2011-09/2012-08北华大学附属医院收治的上消化道出血患者156例作为观察组,另取2010-09/2011-08北华大学附属医院收治的上消化道出血患者121例作为对照组,所有患者均给予胃镜治疗上消化道出血及常规护理,而观察组再给予优质护理,观察护理效果.结果:两组患者治疗前收缩压,舒张压及心率无统计学差异(P>0.05),手术前后收缩压,舒张压及心率均有显著变化(P<0.05),而观察组手术中,手术后收缩压,舒张压及心率均显著性低于对照组(P<0.05).两组患者治疗前抑郁自评量表(self-rating depression scale,SDS)及焦虑自评量表(self-rating anxiety scale,SAS)评分无统计学差异(P>0.05),治疗后两组患者SDS及SAS评分均有所改善,而观察组改善情况显著性优于对照组(5.8±4.6 vs 13.5±4.3;4.9±4.1 vs 15.4±4.1,P<0.05).对照组满意56例,总满意率85.12%,观察组88例,总满意率92.95%,观察组总满意率高于对照组,且差异具有统计学意义(χ2=4.451,P<0.05).结论:对胃镜治疗上消化道出血患者给予优质护理临床效果满意,可有效稳定其各生理指标,减轻其心理负担.AIM： To analyze the physiological and psychological effects of quality care in patients with upper gastrointestinal bleeding undergoing gastroscopy. METHODS： One hundred and twenty-one patients with upper gastrointestinal bleeding treated at our hospital from September 2010 to August 2011 were selected as a control group, and 156 patients with upper gastrointestinal bleeding treated at our hospital from September 2011 to August 2012 were selected as a treatment group. Both groups received gastroscopy and conventional nursing care. The treatment group was additionally given quality care. Clinical effects were observed and compared between the two groups. RESULTS： Blood pressure, heart rate, self-rating depression scale（SDS） and self-rating anxiety scale（SAS） scores had no significant differences between the two groups before surgery（P〉0.05）. Blood pressure and heart rate after surgery were significantly lower in the treatment group than in the control group（P〈0.05）. The improvement of SDS and SAS scores in the treatment group was significantly better than that in the control group（5.8 ± 4.6 vs 13.5 ± 4.3; 4.9 ± 4.1 vs 15.4 ± 4.1, P〈0.05）. The rate of satisfaction to care quality in the treatment group was 92.95%, significantly higher than that in the control group（χ2 = 4.451, P〈0.05）. CONCLUSION： Gastroscopy combined with quality care is effective in the treatment of patients with upper gastrointestinal bleeding and can improve the physiological and psychological state of patients.

关 键 词：上消化道出血 胃镜 优质护理 疗效 

分 类 号：R473.5[医药卫生—护理学]