两种护理模式联合应用在无痛胃镜检查中的效果观察  

The observation of the effect in painless gastroscopy with two kinds of care model joint program

作　　者：刘金秀[1] 刘翠玲[1] 欧结弟 

机构地区：[1]广东省中山市陈星海医院消化内科,广东中山528415

出　　处：《中国当代医药》2016年第22期164-166,共3页China Modern Medicine

摘　　要：目的观察两种护理模式联合应用在无痛胃镜检查中的效果。方法将2014年9月-2015年10月我院接收治疗的80例行无痛胃镜检查患者按随机数表法分为研究组和对照组，各40例。研究组患者给予优质护理联合心理护理．对照组患者给予常规护理。记录两组患者护理后的血压与心率，护理前后的SAS评分，护理满意度及不良反应发生率，并对结果进行分析。结果护理后，研究组患者的收缩压、舒张压、心率分别为（131．2±5．6）mmHg、（78．3±5．6）mmHg、（79．7±4．7）／min，与对照组的（137．9±6.3）mmHg、（89．5±5．8）mmHg、（89．6±5．2）／min比较，差异有统计学意义（t=5．0272、8．7860、8．9329，P〈0．01）；护理前，两组患者的SAS评分比较，差异无统计学意义（P〉0．05）；护理后，两组患者的SAS评分较护理前明显下降，且研究组患者的SAS评分[（35．56±1．42）分]明显低于对照组[（40．68±0．81）分]，差异有统计学意义（P〈0．01）；研究组患者的护理满意度为95．0％，明显高于对照组的80．0％，差异有统计学意义（χ2=4．1143，P〈0．05）；研究组患者出现呼吸抑制、恶心、呕吐等不良反应发生率为5．0％；明显低于对照组的40．0％，差异有统计学意义（χ2=14．0502，P〈0．05）。结论优质护理联合心理护理干预可显著改善无痛胃镜检查患者的焦虑情绪，稳定患者的心率和血压，患者满意度较高。Objective To observe the effect in painless gastroscopy with two kinds of care model joint program.Meth- ods 80 patients with routine gastroscopy painless from September 2014 to October 2015,they were divided into the study group and the control group according to a random number table.The study group were treated with quality care combined with psychological care,the control group were treated with routine care.After treatment,the blood pressure and heart rate,SAS score,nursing satisfaction and complication rates of the tWO groups were recorded and compared. Results After treatment,the study group of patients with systolic blood pressure,diastolic blood pressure,heart rate were （131.2±5.6） mmHg,（78.3±5.6） mmHg,（79.7±4.7）/min,compared with the （137.9±6.3）mmHg,（89.5±5.8）mmHg,（89.6±5.2）/min in control group,the difference were statistically significant （t =5.0272,8.7860,8.9329,P〈0.01）;after treatment,the two groups of patients with the SAS scores was significantly lower than before treatment respectively,while the study group of patients with SAS scores [（35.56±0.42）scores] was significantly lower than （40.68±0.81） scores in the control group,the difference was statistically significant （P〈0.01）;the study group patients satisfaction with care was significantly higher than that of the control group,the difference was statistically significant （χ2=4.1143,P〈0.05）;the study group patients with respiratory depression, nausea,vomiting and other complication rate was 5.0%,lower than 40.0% in the control group,the difference was statistically signifieant（χ2=14.0502,P〈0.05）.Conclusion Psychological quality care combined with nursing intervention can significantly improve painless gastroscopy patient anxiety,it can stability patient＇s heart rate and blood pressure.

关 键 词：无痛胃镜检查 优质护理 心理护理 

分 类 号：R472.91[医药卫生—护理学]