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影响胃镜检查质量的多因素分析

The Study of Multiple Factors in Gastroscopy
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摘要 目的调查反应胃镜检查质量的多项指标并分析其相关影响因素。方法采用前瞻性调查方式,将调查对象分为口头干预组、书面干预组和对照组。调查三组检查前后的生理指标、紧张不适程度和满意度,并分析其相关影响因素。结果在检查后收缩压、检查中紧张不适程度和总体满意度方面,口头干预组与对照组、书面干预组相比,差别均有统计学意义(P<0.05或P<0.01)。此外,女性、年轻受检者的紧张不适程度高(P<0.05,P<0.01),满意度较低(P<0.05,P<0.01)。文化程度高的紧张不适程度高(P<0.05)。体型偏瘦者的收缩压升高幅度和紧张不适程度均偏高(P<0.01,P<0.01)。结论口头干预是一种积极主动的干预方式,可从多方面提高胃镜检查质量;女性、年轻、文化程度高和体型偏瘦者的胃镜检查整体质量较差,应给予积极主动的干预。 Objective: to investigate the index reflecting quality of gastroscopy and the multiple factors related. Methods: to investigate the multiple indexes of parol information group, written information group and control group. The index includes changes of physiological index, the tension and discomfort levels, and satisfaction levels. Then to analyze sex, age, education background, BM/and type of information given to patients. Result: There are statistically significant differences between parol information group and control group, written reformation group (P〈0.05 or P〈0.01). In addition, females, younger patients had higher discomfort levels than males, older patients (P〈0.05, P〈 0.01); while males and older patients had higher satisfaction levels (P〈0.05, P〈0.01). Patients with higher school education background had higher discomfort levels than others (P〈0.05). The thinner had higher discomfort levels and increment in BP than the fatter (P〈0.01, P〈0.01). Conclusion: Parol information is positive and helpful and it should be given to patients undergoing gastroscopy, especially females, the younger, patients with higher school education and the thinner.
出处 《中国消化内镜》 2008年第11期19-22,共4页 Digestive Disease and Endoscopy
关键词 胃镜检查 干预方式 生理指标 紧张不适 Gastroscopy Intervention Physiological index Tension and discomfort
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