综合性护理干预对首次无痛胃镜检查患者焦虑及不良反应的影响

Influence of comprehensive nursing intervention on anxiety and adverse reaction in patients undergoing painless gastroscopy

目的：探讨综合性护理干预对首次无痛胃镜检查患者焦虑及不良反应的影响。方法选择我院2011年1月-2014年1月进行无痛胃镜检查患者120例作为观察对象，两组均行无痛胃镜检查，同时对照组实施常规护理，干预组在此基础上实施综合性护理干预，比较两组患者干预前后SAS评分、检查期间的不良反应情况。结果干预后，两组患者的SAS评分分别为（36.34±7.32）分、（41.78±8.26）分，差异有统计学意义（P〈0.05）。且干预组患者检查后SAS评分显著低于对照组。干预组无一例出现谵妄，对照组有2例患者出现谵妄。干预组患者检查期间躁动、心率下降、呼吸抑制、恶心呕吐的发生率均显著低于对照组，差异有统计学意义（P〈0.05）。结论对首次行无痛胃镜检查患者实施全程围术期的综合性护理干预措施，缓解了患者的焦虑心理，降低了检查期间不良反应的发生率，从而有利于确保检查安全有效顺利完成。

Objective To explore the influence of comprehensive nursing intervention on anxiety and adverse reaction in patients undergoing painless gastroscopy. Methods In our hospital from January 2011 to January 2014 for painless gastroscopy patients 120 cases as the observation object, the two groups underwent painless gastroscopy, while the control group was given routine care, the intervention group on the basis of the control group implementation of comprehensive nursing intervention, adverse reactions during examination, SAS score were compared between the two groups. Results After the intervention, two groups of patients with SAS scores were（36.34±7.32）,（41.78±8.26）, the difference was sta-tistically significant between two groups （P〈0.05）. And after checking, SAS score of the patients in the intervention group was significantly lower than that of the control group. None of the patients developed delirium in intervention group, control group of 2 patients with delirium. Agitation, decreased heart rate, respiratory depression, the incidence of nausea and vomiting in the intervention group patients was significantly lower than the control group, the difference was statistically significant （P〈0.05）. Conclusion For the first time in painless gastroscopy patients implement the compre-hensive nursing intervention during perioperative period can alleviate the patients psychological anxiety, reduce the in-cidence of adverse reaction during examination, so as to ensure the safe,effective check completed successfully.