综合性护理干预对行结肠镜检查患者的心理状态及护理满意度的影响  

Effect of comprehensive nursing intervention on the psychological status and nursing satisfaction of patients with colonoscopy

作　　者：余建香[1] 徐建光[1] 程义仙 卫群英[1] 华贵香 

机构地区：[1]浙江省衢州市人民医院消化内镜中心,浙江衢州324000

出　　处：《中国现代医生》2016年第5期144-147,共4页China Modern Doctor

基　　金：国家卫生计生委医药卫生科技发展研究中心项目(W2015JZC20)

摘　　要：目的探讨综合性护理干预对行结肠镜检查患者的心理状态及护理满意度的影响。方法选择我院2014年1月~2015年1月间行结肠镜检查患者80例,采用随机数字表法随机分为干预组与对照组,两组患者均初次接受肠镜检查,使用奥林巴斯CF-240 J电子结肠镜,由同一组医生和助手进行操作,对照组予随机对症护理,干预组于术前、术中及术后实施综合性护理干预。比较两组患者的焦虑心理SAS评分、紧张恐惧程度情况、护理满意度。结果干预组干预前的SAS评分与对照组比较,差异无统计学意义,检查结束后,对两组患者的SAS评分进行对比分析显示,干预组的SAS评分显著低于对照组,差异有统计学意义（38.31±6.37 vs 42.19±5.63,P〈0.05）。干预组紧张、恐惧程度达1级24例,占60.0%,显著高于对照组,差异有统计学意义（P〈0.05）。干预组剧烈疼痛Ⅳ级4例,占10.0%,显著低于对照组,差异有统计学意义（P〈0.05）。干预组总满意度97.5%,显著高于对照组总满意度75.0%,差异有统计学意义（P〈0.05）。结论对行结肠镜检查患者实施综合性护理干预,可以缓解患者的焦虑心理,减轻患者的紧张、恐惧感以及疼痛感,提高护理满意度。Objective To investigate the effect of comprehensive nursing intervention on the psychological status and nursing satisfaction of patients with colonoscopy. Methods In our hospital from January 2014 to January 2015 for colonoscopy in patients with 80 cases, they were randomly divided into intervention group and control group according to random number table, two groups of patients were first received colonoscopy, used the Olympus CF-240 J electronic colonoscopy, and operated by the same group of doctors and assistants, the control group received symptomatic nursing,intervention group in the preoperative, intraoperative and postoperative received implement comprehensive nursing intervention. The anxiety of the two groups of patients with SAS score, the degree of tension, nursing satisfaction were compared. Results The SAS score of the intervention group had no significant difference compared with the control group before intervention, the SAS score of the two groups were compared and analyzed after examination, the SAS score of the intervention group was significantly lower than that of the control group（38.31±6.37 vs 42.19±5.63, P〈0.05）.In the intervention group, 24 cases of 1 grade, accounted for 60.0%, significantly higher than the control group（P〈0.05）.In the intervention group, 4 patients with severe pain grade Ⅳ, accounted for 10.0%, significantly lower than the control group（P〈0.05）. The total satisfaction of the intervention group was 97.5%, which was significantly higher than 75.0% of the control group（ P 0. 05）. Conclusion The implementation of comprehensive nursing intervention in patients with colonoscopy can ease the anxiety of patients, reduce the tension, fear and pain, improve nursing satisfaction.

关 键 词：结肠镜 综合性护理 焦虑心理 心理状态 护理满意度 

分 类 号：R473.5[医药卫生—护理学]