综合护理干预在老年患者纤维胃镜检查中的应用  

Effects of comprehensive nursing intervention on fiber gastroscopy for senile patients

作　　者：李雁飞 张萍 吴爱娟 曹静 范云霞 Li Yanfei;Zhang Ping;Wu Aijuan;Cao Jing;Fan Yunxia(No.2 Ward of Senile Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China （Li YF, Zhang P, Wu A J, Cao J;No.1 Ward of Senile Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Nanfing 210029, China （Fan YX)

机构地区：[1]南京医科大学第一附属医院老年消化2病区,南京210029 [2]南京医科大学第一附属医院老年消化1病区,南京210029

出　　处：《中华现代护理杂志》2018年第17期2096-2099,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨综合护理干预对老年患者纤维胃镜检查效果的影响。方法采用方便抽样法选取2014年9月-2015年10月在南京医科大学第一附属医院消化内科接受纤维胃镜检查的老年患者100例为研究对象。采用随机数字表法随机分为观察组与对照组，各50例。对照组实施常规护理，观察组在对照组基础上进行综合护理干预。比较两组患者胃镜检查前后血压、心率差值及检查过程中的配合情况；于入院时、检查前应用SAS、SDS对患者情绪进行评分。结果观察组检查前后心率差、收缩压差及舒张压差均小于对照组，差异有统计学意义（t值分别为43．732、42．744、61．492；P〈0．01）。观察组检查过程中保持安静的患者45例，高于对照组（χ2=17．533，P〈0．01）；表现出恐惧心理的患者5例，低于对照组（χ2=17．533，P〈0．01）；观察组检查过程中出现恶心、呕吐、咳嗽的患者例数均低于对照组（P〈0．01）。观察组检查前SDS（41．14±2．14）分、SAS（41．12±3．47）分，均低于对照组“值分别为13．471、8．843；P〈0．01）。结论对老年纤维胃镜检查患者进行综合护理干预能够消除患者恐惧心理，提高患者适应度，缓解患者心理和躯体应激反应。Objective To explore the effects of comprehensive nursing intervention on fiber gastroseopy for senile patients. Methods Totally 100 senile patients who received fiber gastroscopy in the Department of Gastroenterology of the First Affiliated Hospital of Nanjing Medical University from September 2014 to October 2015 were selected by convenient sampling, and randomly and equally divided into an observation group and a control group. Patients in the control group received routine nursing, while patients in the observation group received comprehensive nursing intervention on the basis of routine nursing. The blood pressure, heart rate and coordination during fiber gastroscopy were compared between the patients in the two groups before and after fiber gastroscopy; and the Self-Anxiety Scale （SAS） and Self-Depression Scale （SDS） were used to rate the emotion of the patients after hospitalization and before fiber gastroscopy. Results The differences in heart rate, systolic pressure and diastolic pressure before and after fiber gastroseopy in the patients in the observation group were smaller than that of the patients in the control group （t=43.732, 42.744, 61.492; P 〈 0.01）. Totally 45 patients in the observation group could keep quiet during fiber gastroscopy, higher than the number in the control group （ χ2=17.533, P 〈 0.01） ; 5 patients in the observation group showed fear during fiber gastroscopy, lower than the number in the control group （ χ2=17-533, P 〈 0.01） ; and the number of patients in the observation group who showed nausea, vomiting and cough was lower than that in the control group （P 〈 0.01）. The SDS and SAS scores of the patients in the observation group before fiber gastroscopy were （41.14 ±2.14） and （41.12 ±3.47）, both lower than those of the patients in the control group （t=13.471, 8.843; P 〈 0.01）. Conclusions Comprehensive nursing intervention for senile patients can eliminate the fear, improve the adaptability, and mitigate the psychological and ph

关 键 词：老年人 纤维胃镜 综合护理 

分 类 号：R473.5[医药卫生—护理学]