心理干预或教育对胃镜检查患者血压、脉搏变化值、SAS评分及检查时间和呼吸抑制情况的影响  

Effect of targeted health education in patients receiving painless gastroscopy

作　　者：张雪丽[1] 谭莉[1] 孟凡文[1] 董慈[1] 霍晓辉[1] 牛巍巍[1] 纪素花[1] 

机构地区：[1]河北医科大学第一医院精神卫生科,河北省石家庄市050031

出　　处：《世界华人消化杂志》2015年第3期421-425,共5页World Chinese Journal of Digestology

基　　金：河北省卫生厅科研基金资助项目;No.20110316~~

摘　　要：目的:探讨针对性健康教育在无痛胃镜检查患者中的应用效果.方法:选取2011-06/2014-06在河北医科大学第一医院接受无痛胃镜检查的患者84例为研究对象,随机分为对照组和观察组,各42例.两组患者均进行常规的无痛胃镜检查,检查前对照组进行常规的心理干预及健康教育,观察组则在此基础上对患者进行针对性健康教育.观察比较两组患者在胃镜检查中的血压以及脉搏变化值情况,护理或教育前后焦虑自评量表(self-rating anxiety scale,SAS)评分情况,检查时间和呼吸抑制情况.结果:观察组与对照组在胃镜检查中的血压变化值分别为2.24 mm Hg±0.42 mm Hg和6.69mm Hg±2.17 mm Hg,脉搏变化值分别为1.26次/min±0.22次/min和8.54次/min±4.31次/min,可见观察组患者的血压以及脉搏值波动幅度均小于对照组患者,差异均具有统计学意义(P<0.05);两组患者在护理前SAS评分差异不具有统计学意义(P>0.05);而护理后观察组与对照组患者的得分分别为40.08分±4.31分和47.33分±10.64分,观察组患者的焦虑倾向低于对照组的焦虑倾向,差异具有统计学意义(P<0.05);检查用时以及呼吸抑制方面,观察组患者的检查用时短于对照组患者,发生呼吸抑制的人数为3例,少于对照组人数9例,差异均具有统计学意义(P<0.05).结论:针对性健康教育可降低患者在检查前紧张、焦虑的心情,稳定患者检查时的血压以及脉搏,有效缩短检查时间,减小呼吸抑制的发生率.AIM： To assess the effect of targeted health education in patients receiving painless gastroscopy.METHODS： Eighty-four patients receiving painless gastroscopic examination at our hospital from June 2011 to June 2014 were randomly assigned into either an observation group or a control group. The control group received routine health education, and the observation group received targeted health education. The changes in blood pressure and pulse, self-rating anxiety scale（SAS） score, examination time and respiratory depression rate were compared between the two groups.RESULTS： The changes in blood pressure and pulse were significantly less in the observation group than in the control group（2.24 mm Hg ± 0.42 mm Hg vs 6.69 mm Hg ± 2.17 mm Hg, 1.26 times/min ± 0.22 times/min vs 8.54 times/min ± 4.31 times/min, P〈 0.05）. Before nursing care, SAS scores were similar between the two groups（P〉 0.05）; after nursing care, SAS score was significantly lower in the observation group than in the control group（40.08 ± 4.31 vs 47.33 ± 10.64, P〈 0.05）. The examination time was significantly shorter in the observation group（P〈 0.05）, and the number of patients with respiratory depression was significantly less in the observation group（3 vs 9, P〈 0.05）. CONCLUSION： Targeted health education can lower the tension and anxiety before examination, stabilize the pulse and blood pressure, shorten the examniation time and reduce the rate of respiratory depression in patients receiving painless gastroscopy.

关 键 词：针对性健康教育 无痛 胃镜检查 呼吸抑制 

分 类 号：R473.5[医药卫生—护理学]