临床护理路径在无痛胃肠镜检查中的应用

Application of clinical nursing methods in patients receiving gastrointestinal endoscopy

目的探讨临床护理路径在无痛胃肠镜检查中的应用。方法选择2010年9-11月在本中心健康查体的267例首次行无痛胃肠镜检查者为观察组,以临床护理路径方法进行管理;以同期在中心健康查体的298例患者为对照组,采用常规方法护理。对两组患者焦虑程度、不良事件发生率、相关知识知晓率以及满意率进行比较。结果观察组检查前焦虑程度较宣教前由22.1%降至2.99%,不良事件发生率为1.87%(对照组为6.04%),患者、相关人员满意率显著提高,差异有统计学意义。结论临床护理路径在无痛胃肠镜检查中的应用规范了护理行为,统一了工作标准,降低了不良事件发生率。

Objective To investigate the application of clinical nursing methods in patients receiving gastrointestinal endoscopy.Methods Two hundred and sixty-seven patients who received gastrointestinal endoscopy in our center from September to November 2011 served as an observation group and managed with the clinical nursing methods,while 298 patients who received gastrointestinal endoscopy in our center from September to November 2011 served as a control group and managed with the routine nursing methods.Extent of anxiety,incidence of adverse events,related knowledge aware percentage,and satisfaction rate were compared between the two groups.Results The extent of anxiety was significantly lower in observation group after propaganda and education than before propaganda and education（2.99% vs 22.1%,P0.05）.The incidence of adverse effects was significantly lower in observation group than in control group（1.87% vs 6.04%,P0.05）.The satisfaction degree of patients and related persons was significantly higher after propaganda and education than before propaganda and education（P0.05）.Conclusion The application of clinical nursing methods can normalize the nursing behaviors,unify the nursing standards,and reduce the incidence of adverse events.