Kano理论下的人性化关怀护理在老年急诊胃镜异物卡喉患者的应用效果  

Application effects of humanized care nursing under Kano theory in elderly patients with foreign body stuck in throat in emergency gastroscopy

作　　者：王红霞 侯小霞 韩月欣 Wang Hongxia;Hou Xiaoxia;Han Yuexin(Gastroscopy Room,Jiaozhou Central Hospital,Qingdao,Shandong,266300,P.R.China;Department of Infection Control,Jiaozhou Central Hospital,Qingdao,Shandong,266300,P.R.China)

机构地区：[1]青岛市胶州中心医院胃镜室,山东青岛266300 [2]青岛市胶州中心医院感控科,山东青岛266300

出　　处：《老年医学与保健》2024年第6期1803-1808,共6页Geriatrics & Health Care

基　　金：2022—2024年青岛市市级临床重点专科胃肠道肿瘤综合治疗专科资助。

摘　　要：目的 探究Kano理论下的人性化关怀护理在老年急诊胃镜异物卡喉患者的应用效果。方法 选择2020年9月—2023年9月在青岛市胶州中心医院消化科行急诊胃镜术治疗的老年异物卡喉患者94例,按随机数字表法将分为观察组(n=47)和对照组(n=47)。对照组予以常规护理,观察组予以基于Kano理论的人性化关怀护理。比较2组干预期间的急诊胃镜相关情况和满意度,比较干预前和干预结束后2组患者的疼痛程度、舒适度、生理应激变化幅度。结果 干预期间,观察组胃镜检查时长、进镜时长均低于对照组(P<0.05),而一次进镜成功率高于对照组(P<0.05), 2组异物取出成功率差异无统计学意义(P<0.05)。在干预结束后,2组的VAS评分、 HR、 SBP、 MAP较同组干预前降低(P<0.05),观察组低于对照组(P<0.05);2组患者的PCS评分较同组干预前升高(P<0.05),观察组高于对照组(P<0.05);观察组干预前后的PCS评分差值绝对值高于对照组(P<0.05);观察组NSNS评分高于对照组(P<0.05)。结论 Kano理论下的人性化关怀护理可有效促进急诊胃镜术的实施,显著缓解老年异物卡喉患者疼痛程度,并减少患者的生理应激变化幅度,提高患者的舒适度和满意度。Objective To explore the application effects of the humanized care nursing under Kano theory in elderly patients with foreign body stuck in throat in emergency gastroscopy.Methods 94 elderly patients with foreign body stuck in throat who underwent emergency gastroscopy in Department of Gastroenterology,Jiaozhou Central Hospital,Qingdao City from September 2020 to September 2023 were selected and divided into observation group(n=47)and control group(n=47)according to random number table method.The control group received routine nursing,while the observation group received the humanized care nursing under Kano theory.The emergency gastroscopy-related conditions and satisfaction of patients during intervention were compared between the two groups.The pain degree,comfort degree and change range of physiological stress of the two groups were compared before and after intervention.Results During intervention,the gastroscopy time and gastroscope entry time in the observation group were shorter than those in the control group(P<0.05),and the success rate of one-time gastroscope entry was higher than that in the control group(P<0.05).There was no significant difference in the success rate of foreign body removal between the two groups(P>0.05).After the end of the intervention,the VAS score,PCS scores,HR,SBP and MAP in both groups were significantly lower than those in the same group before intervention(P<0.05),and the observation group was lower than the control group(P<0.05).The PCS scores in both groups were significantly higher than those in the same group before intervention(P<0.05),and the observation group was higher than the control group(P<0.05).The absolute value of the difference in PCS scores before and after intervention in the observation group was larger than that in the control group(P<0.05).The NSNS score in the observation group was higher than that in the control group(P<0.05).Conclusion The humanized care nursing based on Kano theory can effectively promote the implementation of emergency gastroscopy,si

关 键 词：老年 异物卡喉患者 Kano理论 人性化关怀 急诊胃镜 

分 类 号：R47[医药卫生—护理学]