护理干预对高龄冠心病患者胃肠镜检查的影响  

Effect of nursing intervention on gastrointestinal endoscopy in elderly patients with coronary heart disease

作　　者：韩璐[1] 张珠凤[2] 沈国花[2] 

机构地区：[1]浙江医院重症监护室,浙江省杭州市310013 [2]浙江医院心内科,浙江省杭州市310013

出　　处：《世界华人消化杂志》2016年第9期1456-1460,共5页World Chinese Journal of Digestology

摘　　要：目的:探讨护理干预措施对高龄冠心病患者胃肠镜检查的影响,为冠心病患者胃肠镜检查提供更好的护理指导.方法:选取浙江医院2013-06/2015-06高龄冠心病胃肠镜检查患者110例作为研究对象,将其按照随机数字表法进行分组,干预组与常规组,各55例.常规组按照常规胃肠镜检查的护理流程护理,干预组给予胃肠镜检查全程干预的措施护理,观察两组的护理效果.结果:干预组与常规组的检查操作时间、临床护理满意度评分比较差异有统计学意义(22.7 min±6.3 min vs 33.8 min±7.1 min,92.5分±4.7分vs 77.9分±5.2分,P<0.05);护理干预后干预组与常规组患者的SAS评分、SDS评分比较差异有统计学意义(23.6分±4.2分vs 36.2分±5.1分,22.1分±3.7分vs 37.2分±3.3分,P<0.05);干预组与常规组患者检查中并发症发生率比较,差异有统计学意义(7.3%vs 20.0%,P<0.05).结论:临床中对于高龄冠心病患者胃肠镜检查的过程中实施全程干预措施是可行的,能够缩短检查时间,缓解患者的心理压力,降低并发症,提高临床护理满意度.AIM： To evaluate the effect of nursing intervention on gastrointestinal endoscopy in elderly patients with coronary heart disease, in order to provide better nursing guidance for patients with coronary heart disease.METHODS： One hundred and ten elderly patients with coronary heart disease who underwent gastrointestinal endoscopy at our hospital from June 2013 to June 2015 were randomly divided into either an intervention group or a conventional group, with 55 cases in each group. The conventional group received conventional nursing care during gastrointestinal endoscopy, and the intervention group received nursing intervention during gastrointestinal endoscopy. Nursing effects were observed in both groups.RESULTS： The endoscopy examination time and clinical nursing satisfaction score differed significantly between the intervention group and conventional group（22.7 min ± 6.3 min vs 33.8 min ± 7.1 min, 92.5 ± 4.7 vs 77.9 ± 5.2, P 0.05 for both）. After nursing intervention, SAS and SDS scores were statistically significant between the intervention group and conventional group（23.6 ± 4.2 vs 36.2 ± 5.1, 22.1 ± 3.7 vs 37.2 ±3.3, P 0.05）. The rate of complications was significantly lower in the intervention group than in the conventional group（7.3% vs 20.0%, P 0.05）.CONCLUSION： For elderly patients with coronary heart disease patients undergoing gastrointestinal endoscopy, implementationof full intervention is feasible, can shorten the examination time, alleviate psychological pressure of patients, reduce complications, and improve clinical nursing satisfaction.

关 键 词：冠心病 高龄 胃肠镜检查 护理干预 

分 类 号：R473.5[医药卫生—护理学]