个性化护理对电子支气管镜检查患者的焦虑情绪及并发症的效果分析

Effect of Personalized Nursing on Anxiety and Complications of Patients Undergoing Electronic Bronchoscopy

目的拟探究个性化护理模式对改善电子支气管镜检查患者焦虑情绪及并发症的效果。方法方便选取2015年6月—2017年6月入住该院的电子支气管镜检查患者148例,随机分为对照组(n=74)和试验组(n=74),对照组采用常规的护理模式,试验组采用个性化护理模式。两组患者均采用汉密顿焦虑量表(Hamilton Anxiety Scale, HAMA)评估,问卷调查患者的并发症、满意度以及再检意愿。结果对照组HAMA评分正常组有23例,轻至极重度组分别有25例、17例、6例和3例;实验组则分别为32例、30例、11例和1例,极重度组0例。试验组较对照组HAMA量表评分等级明显降低,差异有统计学意义(χ~2=84.118,P<0.001);同时恶心呕吐(χ~2=34.482)、咽喉不适(χ~2=24.336)、憋气感(χ~2=26.468)、喉痉挛(χ~2=80.563)、气胸(χ~2=45.669)以及明显出血(χ~2=68.635)等并发症发生情况与对照组相比显著下降,差异有统计学意义(P<0.05),此外试验组在医疗环境(t=8.753)、服务态度(t=11.335)、操作技术(t=10.483)以及护理质量(t=14.774)等满意度以及再检意愿与对照组(χ~2=46.055,P<0.001)相比均差异有统计学意义(P<0.05)。结论个性化护理模式可有效缓解患者对行电子支气管镜检查的焦虑情绪,降低并发症的发生率,提高了患者再检意愿以及患者满意度,值得在护理中应用。

Objective To explore the effect of personalized nursing mode on improving anxiety and complications in patients undergoing electronic bronchoscopy. Methods A total of 148 patients with electronic bronchoscopy who were convenient selected and admitted to the hospital from June 2015 to June 2017 were randomly divided into control group （n=74） and experimental group （n=74）. The control group used routine nursing mode. The experimental group uses a personalized care model. Both groups were evaluated using the Hamilton Anxiety Scale （HAMA）, which investigated the patient＇s complications, satisfaction, and willingness to retest. Results There were 23 cases with normal HAMA score in the control group, 25 cases, 17 cases, 6 cases and 3 cases in the mild to severe group, and 32 cases, 30 cases, 11 cases and 1 case in the experimental group, and the extremely severe group. The score of the HAMA scale was significantly lower in the experimental group than in the control group, and the difference was statistically significant （X^2=84.118, P〈0.001）. At the same time, nausea and vomiting （X^2=34.482）, throat discomfort （X^2=24.336）, and suffocation （X^2=26.468）, larynx （X^2=80.563）, pneumothorax （X^2=45.669） and obvious bleeding （X^2=68.635） and other complications occurred significantly compared with the control group, statistically significant（P〈0.05）, in addition to the test satisfaction and re-inspection willingness and the control group in the medical environment （t=8.753）, service attitude （t=11.335）, operation technique （t=10.483）, and quality of care （t= 14.774） （X^2=46.055, P〈0.001） There was a statistically significant difference （P〈0.05）. Conclusion The personalized nursing mode can effectively alleviate the anxiety of patients with electronic bronchoscopy, reduce the incidence of complications, improve the patient＇s willingness to retest and patient satisfaction, which is worthy of application in nursing.