老年患者行无痛胃镜检查中护理的临床效果观察

目的观察分析老年患者行无胃痛镜检查中护理的临床效果。方法将我院从2014年3月至2016年2月我院共收冠心病患者140例，随机分为2组，即对照组，给予患者进行常规无痛胃镜检查前准备；实验组在对照组的基础上需要进行检查前、检查中以及检查后的护理干预。比较2组的临床效果。结果治疗后实验组的焦虑评分为(1.27±0.59)、抑郁评分为(1.12±0.69)、躯体化评分为(1.33±0.45)以及SAS评分为(39.3±6.1)，对照组抑郁(1.38±0.62)、焦虑评分为(1.52±0.63)、躯体化评分(1.51±0.56)，SAS评分为(45.3±5.6)，实验组低于对照组，差异具有统计学意义(P<0.05)。经过治疗后，对照组病患不良反应有流涎8例、呛咳6例、恶心6例和不适6例，发生率分别为11.4%、8.5%、8.5%、8.5%，愿意再次检查的有56例，为80.8%；实验组病患不良反应有流涎4例、呛咳2例、恶心2例、不适4例，发生率分别为5.7%、2.9%、2.9%和5.7%；愿意再次检查有66例，为94.3%。对照组高于实验组，2者差异有统计学意义(P<0.05)。结论采用护理干预可以显著减少老年病患行无痛胃镜检查以及改善病患的日常生活质量，应用价值极高，值得在临床中推广。

Objective:To analyze in elderly patients with no stomach endoscopy nursing clinical effect observation.Method:From March2014to February2016,in our hospital,a total of140cases of coronary heart disease patients,randomly divided into two groups,namely the control group,giving patients with conventional painless gastroscopy preparation;The experimental group in the control group on the basis of the need for inspection,examination and inspection before after nursing intervention.The results of the experimental group after treatment for anxiety score(1.27+0.59),(1.12-0.69)for depression score,(1.33-0.45)for somatization score and SAS score(39.3+6.1),control group in depression(1.38+0.62),(1.52-0.63)for anxiety score,somatization score(1.51+/-0.56),SAS score(45.3+5.6),the experimental group is lower than the control group with difference(P<0.05);After treatment,the control group patients with adverse reactions as follows,salivate8cases,accounted for11.4%,choking cough for6cases,accounted for8.5%,nausea for6cases,accounted for8.5%,not suitable for6cases,accounted for8.5%,willing to once again check for56cases,accounting for80.8%;Experimental group patients,4cases of adverse reactions to salivate,accounting for5.7%,the choking cough for2cases,accounted for2.9%,nausea for2cases,accounted for2.9%,not suitable for4cases,accounted for5.7%,willing to once again check for66cases,94.3%).Control group is higher than the experimental group,which has a difference(P<0.05).Conclusion nursing intervention can significantly decrease the rate of elderly patients painless gastroscopy and improving patients'quality of daily life,very high application value,is worth popularization in clinical.