目标性镇静护理联合音乐干预对老年无痛胃肠镜检查患者的影响  

Effect of Targeted Sedation Nursing Combined with Music Intervention on Elderly Patients Undergoing Painless Gastroenteroscopy

作　　者：梁陈颖 LIANG Chenying(The Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属第二医院,福建泉州362000

出　　处：《中外医学研究》2023年第29期117-121,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究目标性镇静护理联合音乐干预对老年无痛胃肠镜检查患者的影响。方法:选取2021年5月—2022年5月于福建医科大学附属第二医院行无痛胃肠镜检查的86例老年患者作为研究对象,按照掷硬币法随机分为观察组和对照组,各43例。对照组采用常规护理,观察组给予目标性镇静护理联合音乐干预。比较两组的生理应激反应、心理状态、Ramsay镇静评分、不良反应发生率及护理满意度。结果:手术开始1 min时,两组Ramsay镇静评分比较,差异无统计学意义(P>0.05);手术结束时,观察组Ramsay镇静评分高于对照组,差异有统计学意义(P<0.05)。麻醉前,两组汉密顿焦虑量表(HAMA)评分比较,差异无统计学意义(P>0.05);术后1 h,观察组HAMA评分低于对照组,差异有统计学意义(P<0.05)。麻醉前,两组收缩压(SBP)、舒张压(DBP)、心率(HR)比较,差异无统计学意义(P>0.05);手术结束时,观察组SBP、DBP、HR低于对照组,差异有统计学意义(P<0.05)。观察组术中不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:目标性镇静护理联合音乐干预能够有效地减轻老年无痛胃肠镜检查患者生理和心理应激,使患者术中保持良好的镇静程度,有利于手术的顺利进行,同时还能有效减少手术患者的相关不良反应,提升患者的护理满意度。Objective:To explore the influence of targeted sedation nursing combined with music intervention on elderly patients undergoing painless gastroenteroscopy.Method:A total of 86 elderly patients who underwent painless gastroenteroscopy in the Second Affiliated Hospital of Fujian Medical University from May 2021 to May 2022 were selected as the study objects,and they were randomly divided into observation group and control group according to coin toss method,with 43 cases in each group.The control group received routine nursing,and the observation group received targeted sedation nursing combined with music intervention.The physiological stress reaction,psychological state,Ramsay sedation score,incidence of adverse reactions and nursing satisfaction were compared between the two groups.Result:At 1 min of the beginning of operation,there was no significant difference in Ramsay sedation score between the two groups(P>0.05).At the end of operation,the Ramsay sedation score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Before anesthesia,there was no significant difference in Hamilton anxiety scale(HAMA)score of the two groups(P>0.05).At 1 h after operation,HAMA score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Before anesthesia,there were no significant differences in systolic blood pressure(SBP),diastolic pressure(DBP),heart rate(HR)between the two groups(P>0.05).At the end of the operation,SBP,DBP and HR in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of intraoperation adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Targeted sedation nurs

关 键 词：目标性镇静护理 音乐干预 无痛胃肠镜 生理应激 RAMSAY镇静评分 

分 类 号：R473.5[医药卫生—护理学]