心理护理干预对胃镜检查患者应激反应的影响

Effect of Mental Nursing Interventions on Stress Reaction of Patients Undergoing Gastroscopic Examination

目的探讨心理护理干预对胃镜检查患者应激反应的影响。方法将拟行胃镜检查患者180例随机分为对照组和干预组各90例。对照组接受常规操作和护理,干预组在此基础上实施心理护理干预。观察两组检查前后的血压、心率、去甲肾上腺素、肾上腺素和皮质醇变化。结果与对照组相比,干预组检查后的SBP和HR明显降低,差异有统计学意义,均P<0.01(t=3.788,2.868),而且干预组检查后的血清NE、E与CS水平明显低于对照组,差异有统计学意义,均P<0.01(t=9.345,10.210,8.202)。结论心理护理干预可明显减轻胃镜检查所致应激反应。

Objective To investigate the effect of mental nursing interventions on stress reaction of patients undergoing gastroscopic examination. Methods A total of 180 patients scheduled for gastroscopic examination were randomly assigned to the control and interventional group,each consisting of 90 cases. The control group received the routine operation and nursing care,while the interventional group was given the mental nursing interventions in addtion. The changes of the blood pressure （BP）, heart rate （HR）, norepinephrine （ NE ）, epinephrine （E）, and cortisol（CS） were observed before and after examination between two group. Results The values of the systolic blood pressure（SBP）and HR of the interventional group were decreased significantly after examination when compared with the control group,showing statistical differences between two groups, all P〈 0.01（t= 3.788,2.868）, and the levels of serum NE,E,and CS were markedly reduced, with statistical differences between two groups, all P〈0.01 （t=9.345, 10.210, and 8.202 respectively）. Conclusion Mental nursing interventions can considerably reduce the stress reaction caused by gastroscopic examination.