体位护理联合心理干预对无痛胃镜检查患者的生理和心理状态的影响

Effect of body position nursing combined with psychological intervention on physiological and psychological status of patients undergoing painless gastroscopy

目的探讨体位护理联合心理干预对无痛胃镜检查患者的生理和心理状态的影响。方法选取2014年1月至2015年1月在我院接受无痛胃镜检查的80例患者作为本次研究的主体对象,按随机数字表法将研究对象随机分为观察组和对照组,每组各40例。对照组患者给予常规体位护理,观察组给予改进后的体位护理同时联合心理干预。观察比较两组患者干预前后的汉密尔顿焦虑量表(HAMA)(14项)评分、生理不适程度以及检查情况。结果 (1)干预前,两组患者的HAMA评分差异无统计学意义(P>0.05),干预后,两组患者的HAMA评分较干预前明显降低,且观察组患者评分明显低于对照组(P<0.05);(2)观察组的患者恶心、呕吐、腹胀、腹痛等生理不适程度较对照组明显减轻(P<0.05);(3)观察组患者顺利进镜率明显优于对照组(P<0.05),而麻醉后倾倒率较对照组明显降低(P<0.05)。结论体位护理联合心理干预在一定程度上可以改善患者的焦虑情绪,减少检查中出现的不适反应,并减少患者麻醉后的倾倒风险,为整个无痛胃镜检查工作的顺利开展起到了促进作用,值得临床中推广应用。

Objective To investigate the effect of body position nursing combined with psychological intervention on physiological and psychological status of patients undergoing painless gastroseopy. Methods A total of 80 patients undergoing painless gastroscopy in our hospital from January 2014 to January 2014 were collectedand randomly divided into two groups： observation group （ 40 cases ） received improved body position nursing combined with psychological intervention ; control group （ 40 patients ） received routine body position nursing. Hamilton anxiety scale （ HAMA ） score before and after intervention, physical discomfort, the dumping rate after anesthesia, and inspection conditions between the two groups were compared. Results （ 1 ） Before intervention, there was no difference in HAMA score between the two groups （P〉 0.05 ）; Compared with before intervention, the HAMA scores in the two groups were lower after intervention （P 〈 0.05 ）, and the scores in the observation group was lower than that in the control group （P 〈 0.05 ） . ; （ 2 ） Compared with the control group, physical discomfort （ nausea, vomiting, abdominal distension, abdominal pain ） in the observation group was significantly alleviated （ P〈 0.05 ）; （ 3 ） The progress smoothly probability of patients with gastroscopy in the observation group was superior to the control group （P〈 0.05 ）, and the dumping rate after anesthesia was lower than that in the control group （P 〈 0.05 ） . Conclusion Body position nursing patients combined with psychological intervention can improve anxiety, and reduce the adverse reaction in the process of gastroscopy, and reduce the risk of dumping afteranesthesia, which promote the whole process of the painless gastroscopy smoothly.