细节护理对硬质支气管镜检查患者疼痛及心理波动的影响

Effect of detail nursing on pain and psychological fluctuation of patients undergoing rigid bronchoscopy

目的探讨细节护理对硬质支气管镜检查患者疼痛及心理波动的影响。方法选取我院2018年1月至2018年5月收治的168例硬质支气管镜检查患者作为研究对象,按随机数字表法将其分为对照组(84例,常规护理)和观察组(84例,常规护理+细节护理)。两组均进行3周护理,护理完毕后比较两组患者的心理波动评分、不良反应发生情况及疼痛程度。结果护理前,两组患者的各项心理评分比较,差异无统计学意义(P>0.05);护理3周后,观察组患者的强迫、抑郁、敌对及焦虑评分均低于对照组,差异具有统计学意义(P<0.05)。观察组疼痛0级、Ⅰ级患者数均显著多于对照组,差异具有统计学意义(P<0.05);观察组疼痛Ⅱ级、Ⅲ级患者数均显著少于对照组,差异具有统计学意义(P<0.05)。观察组不良反应总发生率(检查过程中呕吐、发钳、声嘶)显著低于对照组,差异具有统计学意义(P<0.05);观察组检查成功率显著高于对照组,差异具有统计学意义(P<0.05)。结论对硬质支气管镜检查患者采用细节护理能降低患者心理波动,降低不良反应发生率,减轻患者疼痛感,值得临床推广应用。

Objective To explore the effect of detail nursing on pain and psychological fluctuation of patients undergoing rigid bronchoscopy. Methods A total of 168 patients who underwent rigid bronchoscopy admitted in our hospital from January 2018 to May 2018 were selected as the research objects and divided into control group(84 cases, routine nursing)and observation group(84 cases, routine nursing+detail nursing) according to random number table method. The two groups were given 3 weeks of nursing. The psychological fluctuation scores, adverse reactions and pain degree were compared between the two groups after nursing. Results There were no significant difference in psychological scores between the two groups before nursing(P>0.05);after 3 weeks of nursing, the scores of compulsion, depression, hostility and anxiety in the observation group were lower than those in the control group, and the differences were statistically significant( P<0.05).The number of patients pain with grade 0 and Ⅰ cases in the observation group were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). The number of patients pain with grade Ⅱ and Ⅲcases in the observation group were significantly less than those in the control group, and the differences were statistically significant(P <0.05). The total incidence of adverse reactions(vomiting, forceps, hoarseness during examination) in the observation group was significantly lower than that in the control group, and the differences were statistically significant(P<0.05). The success rate of the observation group was significantly higher than that of the control group, and the differences was statistically significant(P<0.05). Conclusion Detailed nursing for patients undergoing rigid bronchoscopy can reduce the psychological fluctuation and the incidence of adverse reactions of patients, and alleviate the pain of patients, which is worthy of further promotion and application.