全程护理干预对无痛胃镜检查患者的效果观察

Effect of patients with painless gastroscopy treated with full nursing intervention

目的探讨全程护理干预对无痛胃镜检查患者的效果。方法选择2015年5~7月间在我院进行无痛胃镜检查的患者126例,按照随机数字表法分为研究组和对照组,各63例,对照组实施常规护理,研究组实施全程护理,比较两组干预前后SAS评分、SBP、DBP、P及检查时间。结果两组干预后SAS评分均明显低于干预前,差异有统计学意义（P〈0.05）;研究组干预后SAS评分与对照组比较明显较低,差异有统计学意义（P〈0.05）。研究组检查过程中的SBP、DBP及P的变化程度与对照组比较明显较小,检查时间≤40min患者所占比例与对照组比较明显较高,〉40min患者所占比例与对照组比较明显较低,差异有统计学意义（P〈0.05）。结论无痛胃镜检查中实施全程护理可有效缓解患者的不良心理,血压、脉搏变化程度更小,且可明显缩短检查时间,可在临床推广应用。

Objective To explore the effect of patients with painless gastroscopy treated with full nursing intervention. Methods Selected 126 patients of painless gastroscopy from May 2015 to Jul 2015 in our hospital, according to the random number table, all the patients were divided into two groups, the study group and the control group （n=63）, repectively. The control group implemented routine nursing care, the study group implemented full nursing, SAS score, SBP,DBP, P and check the time of two groups before and after the intervention were compared. Results SAS scores of the study group and control group after the intervention were significantly lower than before intervention, the difference was statistically significant （P〈0.05）; SAS score of the study group after the intervention were significantly lower than the control group, the difference was statistically significant （P〈0.05）. The degree of changes in SBP, DBP and P of the study group in the check the process was significantly smaller than the control group, the percentage of patients ≤40min inspection time of the study group was significantly higher than the control group, 〉40min proportion of patients was significantly lower than the control group, the difference was statisti- cally significant （P〈0.05）. Conclusion Painless gastroscopy implemented throughout the patients＂ care can relieve the ad- verse psychological, blood pressure, pulse smaller degree of change, and can significantly shorten the examination time, it can be applied in clinic.