AIDET沟通护理在行无痛内镜下高频电凝电切治疗胃肠息肉患者中的应用效果  

Efficacy of AIDET communication nursing in gastrointestinal polyps undergoing painless endoscopic high-frequency electrocoagulation

作　　者：米亚玲 Mi Yaling(Endoscopy Center,General Hospital of Pingmei Shenma Medical Group,Pingdingshan Henan 467000,China)

机构地区：[1]平煤神马医疗集团总医院内镜中心,河南平顶山467000

出　　处：《保健医学研究与实践》2022年第4期82-84,89,共4页Health Medicine Research and Practice

基　　金：河南省医学科技攻关计划项目(201703012)。

摘　　要：目的探讨AIDET沟通护理干预在行无痛内镜下高频电凝电切治疗胃肠息肉患者护理中的应用效果。方法本研究选取2019年6月—2020年12月在河南省某医院行无痛内镜下高频电凝电切治疗的90例胃肠息肉患者为研究对象。采用随机数字表法将患者分为研究组与对照组,每组45例。对照组患者采用常规护理,研究组患者在对照组护理基础上进行AIDET沟通护理干预。比较2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分;比较2组患者出院时自我效能感量表及患者治疗配合度调查量表评分。结果护理前,2组患者SAS及SDS评分比较,差异无统计学意义(P>0.05)。出院时,2组患者SAS及SDS评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者自我效能感量表中疾病基本知识、不良因素危害性认知、治疗知识、自我管理知识、并发症预防知识维度评分均高于对照组,差异均有统计学意义(P<0.05)。研究组患者治疗配合度调查量表中术前准备、麻醉、术中、术后饮食、术后生活作息、情绪维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论对接受无痛内镜下高频电凝电切治疗的胃肠息肉患者采取AIDET沟通护理干预,可以有效缓解患者的负性情绪,提高患者治疗配合度,同时进一步加强患者的自我效能感,临床效果显著,值得临床推广应用。Objective To explore the efficacy of AIDET communication nursing intervention in the care of patients with gastrointestinal polyps undergoing painless endoscopy high-frequency electrocoagulation.Methods Ninety patients with gastrointestinal polyps treated with painless endoscopic high-frequency electrocoagulation in a hospi-tal in Henan Province from June 2019 to December 2020 were selected for this study.A random number table was used to divide the patients into the study group and the control group,with 45 cases in each group.The pa-tients in the control group received conventional care,and the patients in the study group were given AIDET communication nursing intervention based on the care in the control group.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of patients in the 2 groups were compared;the self-efficacy scale and the treatment compliance survey scale scores of patients in the 2 groups were compared at discharge.Results Before care,there was no statistically significant difference between the SAS and SDS scores of the 2 groups(P>0.05).At the time of discharge,the SAS and SDS scores of patients in both groups were lower than those before treatment and lower in the study group than in the control group,with statistically significant differences(P<0.05).The scores for basic knowledge of disease,perception of risk of adverse factors,knowledge of treat-ment,knowledge of self-management,and knowledge of complication prevention in the self-efficacy scale were higher in the study group than in the control group,and the differences were statistically significant(P<0.05).The scores for preoperative preparation,anesthesia,intraoperative and postoperative diet,postoperative life and rest,and emotions as well as the total scores in the treatment compliance survey scale of patients in the study group were all higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion AIDET communication nursing intervention for patients with gastroin

关 键 词：无痛内镜下高频电凝电切 胃肠息肉 AIDET沟通护理 

分 类 号：R57[医药卫生—消化系统]