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作 者:施岩岩 SHI Yanyan(Department of Internal Medicine,Rongjun Hospital of Liaoning Province,Dandong 118005,China)
出 处:《中国医药指南》2023年第3期156-158,共3页Guide of China Medicine
摘 要:目的评价胃镜检查患者检查期间配合系统护理干预模式的效果以及患者满意度情况,以提高胃镜检查患者安全性、配合度。方法选择我院2019年8月至2019年12月期间进行胃镜检查的120例患者,采取随机数字表法将患者分成对照组与观察组。对照组60例胃镜检查患者采取常规护理,观察组60例胃镜检查患者在对照组的基础上采取系统护理干预模式。研究内容由伦理委员会批准同意。比较两组胃镜检查患者的护理效果,包括不良反应发生率、依从性、护理满意度、情绪评分以及生命体征、血氧饱和度情况,以焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评估患者情绪。结果组间呼吸抑制、恶心呕吐、呛咳等不良反应发生率以及情绪评分比较,观察组患者不良反应发生率低、情绪评分低,P<0.05;组间生命体征、血氧饱和度指标比较,观察组患者观察指标比对照组更平稳,P<0.05;组间护理满意度、依从率比较,观察组患者占比率比对照组更高,P<0.05。结论患者胃镜检查期间由于情绪紧张以及生理状况等,导致血压、心率、血氧饱和度变化明显,从而影响检查安全性和配合度。积极的系统护理模式可以进一步稳定患者的生命体征、心理,进而提高检查依从性、安全性、护理满意度。Objective To evaluate the effect of cooperating with the systemic nursing intervention mode during the examination of gastroscopy patients and patient satisfaction,so as to improve the safety and cooperation of gastroscopy patients.Methods We selected 120 patients who underwent gastroscopy in our hospital from August 2019 to December 2019,and took random number table method for control group and observation group care.The 60 patients undergoing gastroscopy in the control group took routine care,60 patients in the observation group who underwent gastroscopy took systematic nursing intervention mode on the basis of the control group.To compare the nursing effects of the two groups of patients undergoing gastroscopy,including the incidence of adverse reactions,compliance,nursing satisfaction,mood scores,vital signs,and blood oxygen saturation,using the Self-rating Anxiety Scale(SAS),the Self-rating Depression Scale(SDS)assesses the mood of patients.Results The incidence of respiratory depression,nausea and vomiting,coughing and other adverse reactions and emotional scores were compared between groups.The observation group had low adverse reactions and low emotional scores,P<0.05.Comparison of vital signs and blood oxygen saturation indicators between groups was observed index of the patients in the observation group was more stable,P<0.05.Comparison of the nursing satisfaction and compliance rate between the groups,the observation group had a higher proportion of patients,P<0.05.Conclusion During gastroscopy,due to emotional stress and physiological conditions,blood pressure,heart rate,and blood oxygen saturation change significantly,which affects the safety and coordination of the examination.An active systemic nursing model can further stabilize the patient's vital signs and psychology,thereby improving inspection compliance,safety,and nursing satisfaction.
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