流程化护理干预对无痛胃肠镜检查患者心理状态及不良后果发生的影响  

The Effect of Process-based Nursing Intervention on the Psychological State and Adverse Consequences of Patients Undergoing Painless Gastrointestinal Endoscopy

作　　者：蔡观莲 钟意英 李利珍 CAI Guanlian;ZHONG Yiying;LI Lizhen(Department of Gastroenterology,Huizhou Third People's Hospital,Huizhou,Guangdong Province,516001 China)

机构地区：[1]惠州市第三人民医院消化内科,广东惠州516001

出　　处：《中外医疗》2022年第2期130-133,142,共5页China & Foreign Medical Treatment

基　　金：惠州市科技计划项目(2019Y218)。

摘　　要：目的探讨无痛胃肠镜检查患者实施流程化护理干预对其心理状态影响及降低不良后果发生率的有效性。方法方便选取该院消化内科2020年1—12月收治的160例无痛胃肠镜检查患者,随机分为对照组与研究组各80例。对照组给予常规护理,研究组实施流程化护理干预,对比两组患者各时间段心理状态及不良后果发生率,同时观察其检查时间、护理满意度差异。结果①组间患者入院时心理状态差异无统计学意义(P>0.05),进行检查前5 min与麻醉药物失效后对照组焦虑与抑郁评分较高,与研究组相比,差异有统计学意义(P<0.05);②与研究组(3.75%)相比,对照组不良后果发生率(13.75%)更高,差异有统计学意义(χ^(2)=5.010,P<0.05);③与对照组相比,研究组检查时间更短,满意度更高,差异有统计学意义(P<0.05)。结论将流程化护理干预应用于无痛胃肠镜检查患者中效果显著,能够有效降低其不良心理状态,促进检查依从性,同时使不良后果发生率得以降低,检查时间得以缩短,满意度得以提升,临床应用价值显著。Objective To explore the effect of process-based nursing intervention on patients undergoing painless gastrointestinal endoscopy on their psychological state and the effectiveness of reducing the incidence of adverse consequences.Methods The 160 patients undergoing painless gastrointestinal endoscopy admitted to the Department of Gastroenterology in the hospital from January to December 2020 were conveniently selected and randomly divided into a control group and a study group with 80 cases each.The control group was given routine nursing,and the study group implemented process-based nursing intervention.The psychological status and incidence of adverse consequences were compared between the two groups of patients in each time period,and the differences in examination time and nursing satisfaction were observed.Results 1.There was no statistically significant difference in the mental state of patients between the groups when they were admitted to the hospital(P>0.05).The anxiety and depression scores of the control group were higher 5 minutes before the examination and after the anesthetic drugs failed,and compared with the study group,the difference was statistically significant(P<0.05).2.Compared with the study group(3.75%),the control group had a higher incidence of adverse consequences(13.75%),the difference was statistically significant(χ^(2)=5.010,P<0.05).3.Compared with the control group,the study group had shorter inspection time and higher satisfaction,the difference was statistically significant(P<0.05).Conclusion The application of process-based nursing intervention to patients undergoing painless gastrointestinal endoscopy has a significant effect,which can effectively reduce their unhealthy mental state and promote examination compliance.At the same time,the incidence of adverse consequences can be reduced,inspection time can be shortened,satisfaction can be improved,and clinical application value is significant.

关 键 词：流程化护理 无痛胃肠镜检查 心理状态 不良后果 效果 

分 类 号：R4[医药卫生—临床医学]