针对性健康教育在胃镜检查患者中的应用效果  

Application of targeted health education for patients undergoing gastroscopy

作　　者：何海燕[1] 沈军英 王叶飞[2] 余幼芬[2] 

机构地区：[1]浙江省舟山市妇幼保健院胃镜室,316000 [2]浙江省舟山市妇幼保健院护理部,316000

出　　处：《中华现代护理杂志》2016年第8期1137-1139,共3页Chinese Journal of Modern Nursing

基　　金：浙江省中医药科学研究基金计划(2013ZA110)@@@@Scientific Research Fund Program for Traditional Chinese Medicine in Zhejiang Province

摘　　要：目的：探讨针对性健康教育在胃镜检查患者中的应用效果。方法选取在消化科接受治疗的300例胃镜检查患者为研究对象,随机分为对照组（150例）和观察组（150例）。对照组患者采用常规健康教育方案,观察组患者在此基础上给予针对性健康教育方案。比较两组患者在胃镜检查中不适程度,检查过程中恐惧、恶心、呕吐反应和一次性插管成功率以及患者满意度。结果观察组患者对胃镜检查的不适程度明显低于对照组,出现恐惧、恶心、呕吐的患者明显少于对照组,两组比较差异有统计学意义（P〈0.05）；观察组患者一次性插管成功率为100.0%,明显高于对照组的82.7%,差异有统计学意义（χ^2=9.764,P〈0.05）；观察组患者满意度为95.3%,明显高于对照组的76.7%,差异有统计学意义（χ^2=9.263,P〈0.05）。结论针对性健康教育可以改善患者对于胃镜检查的不适程度,减少恐惧、恶心、呕吐等反应,提高一次性插管成功率和患者满意度。Objective To explore the application effects of targeted health education for gastroscopy patients. Methods A total of 300 gastroscopy patients treated in Gastroenterology Department were selected as objects and were randomly divided into control group （ 150 cases ） and observation group （ 150 cases ） . The patients of control group were treated with conventional health education programs, while the patients of observation group were treated with targeted health education programs on the basis of convention. Degree of discomfort during inspection, fear, nausea, vomiting, success rate of first intubation, and patient satisfaction were compared between the two groups. Results Degree of discomfort in the observation group was significantly lower than that in the control group, and patients with fear of the inspection, nausea, or vomiting in the observation group were significantly less than those in the control group （ P 〈0. 05 ）; success rate of first intubation in the observation group was 100. 0%, significantly higher than in the control group （82. 7%） （χ^2 =9. 764, P〈0. 05）;patient′s satisfaction in the observation group was 95. 3%, significantly higher than 76. 7%in the control group （χ^2 =9. 263,P〈0. 05）. Conclusions Targeted health education can improve patients′discomfort level during gastroscopy, reduce fear, nausea, vomiting and other reactions, and enhance success rate of first intubation and patient satisfaction.

关 键 词：健康教育 胃镜检查 应用效果 

分 类 号：R473.5[医药卫生—护理学]