预见护理干预对冠心病行无痛内镜患者负面情绪及血氧饱和度的影响  

Effect of Nursing Intervention on Negative Emotions and Blood Oxygen Saturation in Painless Endoscopy Patients with Coronary Heart Disease

作　　者：李焕丽 LI Huanli(Department of Internal Medicine,Fangdaqunzhong(Yingkou)Hospital Co.,Ltd,Yingkou 115000,China)

机构地区：[1]方大群众(营口)医院有限公司内科,辽宁营口115000

出　　处：《中国医药指南》2023年第2期171-173,共3页Guide of China Medicine

摘　　要：目的 分析冠心病行无痛内镜患者的护理需求,评价预见性护理干预对冠心病患者负面情绪、血氧饱和度等方面的影响,以提高受检者安全性。方法 选择我院心血管内科2019年1月至2020年2月收治的进行无痛内镜检查的冠心病患者106例,采取随机数字表法进行分组,分为对照组(n=53)与观察组(n=53)。对照组患者接受常规护理,观察组患者接受预见性护理干预,比较两组患者的负性情绪、生命体征、血氧饱和度、并发症发生情况以及护理满意度问卷情况。结果 检查后,观察组患者的SBP、DBP、HR、SpO水平均优于对照组,干预后SAS与SDS评分均低于对照组,恶心、呕吐、呼吸抑制等并发症发生率明显低于对照组,护理满意度高于对照组,组间差异有统计学意义,P<0.05。结论 冠心病行无痛内镜患者检查期间负面情绪、血氧饱和度以及生命体征变化明显,增加恶心、呕吐等并发症发生风险,预见性护理干预可以稳定患者生命体征、情绪,进一步提高患者的安全性。Objective To analyze the nursing needs of painless endoscopic patients with coronary heart disease,and to evaluate the effect of predictive nursing intervention on negative emotions and blood oxygen saturation of patients with coronary heart disease,so as to improve the safety of patients.Methods A total of 106 coronary heart disease patients admitted to the department of cardiovascular medicine of our hospital for painless endoscopy from January 2019 to February 2020 were selected.The control group (n=53) and the observation group (n=53) were divided into two groups using the random number table method.Patients with coronary heart disease in the control group received routine nursing care,and patients with coronary heart disease in the observation group received predictive nursing intervention.The negative emotions,vital signs,blood oxygen saturation,complications and nursing satisfaction questionnaire of patients with coronary heart disease under painless endoscopy in the two groups were compared.Results The SBP,DBP,HR and SpOlevels of patients with coronary heart disease in the observation group were better than those in the control group after examination,SAS and SDS negative emotional scores were lower than those in the control group after intervention,the incidence of complications such as nausea,vomiting and respiratory depression was significantly lower than that in the control group,and the nursing satisfaction was higher than that in the control group.There were significant difference in the observation index between the groups (P<0.05).Conclusion During the examination of coronary heart disease patients with painless endoscopy,negative emotions,blood oxygen saturation and vital signs change significantly,increasing the risk of complications such as nausea and vomiting.Predictive nursing intervention can stabilize patients’vital signs and emotions and further improve the safety of patients.

关 键 词：冠心病 无痛内镜检查 预见护理干预 负面情绪 

分 类 号：R473.5[医药卫生—护理学] R541.4[医药卫生—临床医学]