针对性和常规健康教育方案在胃镜检查患者中的应用对比

Application of Targeted Health Education Program and Routine Health Education Program in Patients with Gastroscopy

目的:对比研究针对性和常规健康教育方案在胃镜检查患者中的应用。方法:选取2015年1月-2016年11月本院消化内科接受胃镜检查的320例患者为研究对象,按照随机数字表法分为对照组和观察组,各160例。两组均予常规健康教育方案,同时观察组予针对性健康教育方案。比较两组检查前、中、后生理指标(包括血压、心率),患者在检查中的反应(包括恐惧、恶心、呕吐、疼痛),一次性插管成功率及患者满意程度。结果:两组患者检查前血压和心率比较,差异均无统计学意义(P>0.05);对照组检查中、检查后心率和血压较观察组明显升高,差异均有统计学意义(P<0.05)。对照组检查中的不适反应明显高于观察组,差异均有统计学意义(P<0.05)。对照组一次性插管成功率较观察组低,差异有统计学意义(P<0.05)。观察组满意程度明显高于对照组,差异有统计学意义(P<0.05)。结论:针对性健康教育能减少患者在应激状态下的不良反应,改善患者对胃镜检查的恐惧,减少患者检查时的不适反应,提高一次性插管成功率及患者满意程度,值得临床推广。

Objective： To research the application of targeted health education and routine health education program in patients with gastroscopy.Method： From January 2015 and November 2016 in our hospital, 320 patients of digestive diseases detected hy gastroscope were selected as the research objects and divided into the control group and the observation group, 160 cases in each group.Both two groups were given conventional health education plan, at the same time the observation group was additionally given targeted heahh.education. The physiological indexes （ including blood pressure, heart rate ） before, during and after inspection, reaction （ including fear, nausea, vomiting and pain ） during inspection, one-time success rate of intubation and patients satisfaction of two groups were compared.Result： There were no statistical significance in blood pressure and heart rate of two groups before the examination （ P〉0.05 ） .During and after gastroscopy examination, heart rate and blood pressure of the control group were significantly higher than those of the observation group, the differences were statistically significant （ P〈0.05 ） .Uncomfortable reactions of the control group were significantly higher than those of the observation group, the differences were statistically significant （ P〈0.05 ） .one-time success rate of intubation of the control group was lower than that of the observing group, the difference was statistically significant （ P〈0.05 ） .Satisfaction of the observation group was obviously higher than that of the control group, the difference was statistically significant （P〈0.05） .Conclusion： Targeted health education can reduce the adverse reactions for patients under the stress state, improve the patient＇s fear of gastroscopy, reduce the discomfort reaction of screening and improve the one-time success rate of intubation and patient satisfaction, it is worth of clinical promotion.