平板电脑游戏对无痛胃镜检查患者配合情况和不适应性行为的影响  

Influence of tablet computer games on the treatment compliance and maladaptive behaviors of patients undergoing painless gastroscopy

作　　者：赵春玲[1] 李小环[1] 原红艳[1] Zhao Chunling;Li Xiaohuan;Yuan Hongyan(Department of Endoscopic Clinic,Xinxiang Central Hospital,He'nan Province,Xinxiang 453000,China)

机构地区：[1]河南省新乡市中心医院内镜诊疗部,453000

出　　处：《中华现代护理杂志》2019年第35期4606-4609,共4页Chinese Journal of Modern Nursing

摘　　要：目的 观察在实施无痛胃镜检查前给予平板电脑游戏干预对患者配合情况及不适应行为的改善作用.方法 采用便利抽样法,选取2018年6月-2019年6月于新乡市中心医院首次行无痛胃镜检查的住院患者133例,按抽签法分为常规护理组65例和平板电脑游戏组68例.常规护理组接受常规护理干预,平板电脑游戏组在常规护理组基础上,于无痛胃镜检查前30 min给予平板电脑游戏干预.采用检查配合程度调查表比较两组患者的检查配合情况,并于胃镜检查后1周,采用术后行为量表(PHBQ)评价患者术后行为改变的发生率.结果两组患者检查中配合评分比较,差异无统计学意义(P>0.05);平板电脑游戏组患者检查配合的意识、检查前准备、检查体位摆放、其他配合4个方面及总分均高于常规护理组,差异有统计学意义(P<0.05);平板电脑游戏组整体焦虑、睡眠焦虑、饮食障碍及冷漠退缩发生率均低于常规护理组,差异均有统计学意义(P<0.05);两组分离焦虑和攻击性发生率比较,差异无统计学意义(P>0.05).结论无痛胃镜检查前行平板电脑游戏干预可以提高患者的检查配合度,降低患者检查后的不适应性行为的发生率,值得临床上推广使用.Objective To observe the improve effect of tablet computer games on treatment compliance and maladaptive behaviors of patients undergoing painless gastroscopy. Methods The 133 patients undergoing painless gastroscopy for the first time in Xinxiang Central Hospital from June 2018 to June 2019 were selected and divided into routine care group (n=65) and tablet computer game group (n=68) by picking method. Routine care group was given routine nursing intervention, while tablet computer game group was given tablet computer games intervention 30 minutes before painless gastroscopy based on routine nursing intervention. The treatment compliance was compared by cooperation questionnaire between two groups, and after painless gastroscopy for 1 week, the incidence of postoperative behavior change were evaluated by postoperative behavior scale (PHBQ). Results The differences of coordination scores during examination between the two groups were not statistically significant (P> 0.05). The scores of coordination awareness, preparation before examination, posture and other coordination, as well as total scores were higher in tablet computer game group than those in routine care group. The result was statistically significant (P<0.05). The incidence of sorting anxiety, sleep anxiety, eating disorder and indifference and withdrawal was lower in tablet computer game group than those in routine care group. The result was statistically significant (P<0.05). There were no statistical differences in the incidence of separation anxiety and aggression between the two groups (P>0.05). Conclusions The tablet computer game intervention before painless gastroscopy can improve the examination cooperation and reduce the incidence of inappropriate behaviors after examination. It is worthy of clinical promotion.

关 键 词：胃镜检查 平板电脑游戏 配合度 不适应行为 

分 类 号：R47[医药卫生—护理学]