摘要
目的分析无痛消化内镜检查中舒适护理干预的临床应用价值。方法便利选取2017年11月—2018年11月之间在该院接受无痛消化内镜检查的96例患者,按照入院检查顺序分为观察组(n=48)与对照组(n=48)。对照组实施常规护理,观察组实施舒适护理。比较两组患者护理效果。结果干预前,观察组收缩压(146.28±16.71)mmHg、舒张压(74.82±11.65)mmHg、心率(84.53±7.68)次/min,与对照组(145.92±17.65)mmHg、(75.02±11.54)mmHg、心率(84.63±7.35)次/min相比,差异无统计学意义(t=0.103、0.085、0.065,P>0.05);干预后,观察组收缩压(122.39±14.37)mmHg、舒张压(62.49±9.74)mmHg、心率(71.92±8.15)次/min、焦虑自评量表(SAS)评分(46.51±5.42)分、抑郁自评量表(SDS)(48.21±5.31)分、血压以及心率改善情况,均显著优于对照组收缩压(131.48±15.03)mmHg、舒张压(69.05±10.03)mmHg、心率(82.46±8.20)次/min、SAS评分(50.44±5.38)分、SDS(52.82±5.08)分(t=3.029、3.251、6.316、3.565、4.346,P<0.05);观察组疼痛程度0级14.58%、Ⅰ级60.42%、Ⅱ级18.75%、Ⅲ级8.33%,与对照组2.08%、20.83%、52.08%、25.00%相比,差异有统计学意义(χ2=4.909、15.590、11.658、4.800,P<0.05)。结论在无痛消化内镜检查中实施舒适护理干预,可明显缓解患者焦虑、紧张情绪,减轻检查产生疼痛,维持血压与心率处于正常稳定水平。观察组SDS评分、SAS评分均显著低于对照组(P<0.05).
Objective To analyze the clinical application value of comfortable nursing intervention in painless digestive endoscopy. Methods Convenient selection of 96 patients who underwent painless digestive endoscopy in the hospital from November 2017 to November 2018 were enrolled in the observation group(n=48) and the control group(n=48). The control group was given routine care, and the observation group was given comfortable nursing, and the nursing effects of the two groups were compared. Results Before the intervention, the systolic blood pressure(146.28±16.71) mmHg, diastolic blood pressure(74.82±11.65) mmHg, heart rate(84.53±7.68) times/min and the control group(145.92±17.65) mmHg,(75.02±11.54) mmHg, There was no statistically significant difference in heart rate(84.63±7.35) times/min(t=0.103, 0.085, 0.065,P>0.05). After intervention, the observed group had systolic blood pressure(122.39±14.37) mmHg and diastolic blood pressure(62.49±9.74) mm Hg. Heart rate(71.92±8.15) times/min, anxiety self-rating scale(SAS) score(46.51±5.42)points, depression self-rating scale(SDS)(48.21±5.31)points, blood pressure and heart rate improvement were all excellent. In the control group(131.48±15.03) mmHg,(69.05±10.03) mmHg, heart rate(82.46±8.20) times/min, SAS score(50.44±5.38)points, SDS(52.82 ±5.08) points(t=3.029, 3.251, 6.316, 3.565, 4.346, P <0.05);observed pain level 0 14.58%, grade I60.42%, grade II 18.75%, grade III 8.33% compared with the control group 2.08%, 20.83%, 52.08%, 25.00% The difference was statistically significant(χ~2=4.909, 15.590, 11.658, 4.800, P<0.05). Conclusion The implementation of comfortable nursing intervention in painless digestive endoscopy can significantly alleviate anxiety and tension, reduce pain during examination, and maintain blood pressure and heart rate at a normal and stable level. The SDS score and SAS score of the observation group were significantly lower than the control group(P<0.05).
作者
韩玉芝
HAN Yu-zhi(Department of Endoscopy Room,Liangshan County People's Hospital,Jining City,Liangshan,Shandong Province,272600 China)
出处
《中外医疗》
2020年第3期144-146,共3页
China & Foreign Medical Treatment
关键词
无痛消化内镜检查
舒适护理
不良情绪评分
血压
心率
疼痛程度
Painless digestive endoscopy
Comfortable care
Bad mood score
Blood pressure
Heart rate
Degree of pain
