围术期强化认知护理干预在内镜下逆行胰胆管造影术患者中的应用效果

Application effect of perioperative intensive cognitive nursing intervention in patients undergoing endoscopic retrograde cholangiopancreatography

目的探讨围术期强化认知护理干预在内镜下逆行胰胆管造影术(ERCP)患者中的应用效果。方法选取我院2016年1月至2018年12月收治的180例ERCP患者作为研究对象,采用Excel随机函数法将其分为对照组(90例,常规护理干预)和研究组(90例,强化认知护理干预)。比较两组患者干预前、后的心理状况、术后并发症发生情况及护理满意度。结果干预前,两组患者的焦虑、抑郁评分比较,差异无统计学意义(P>0.05);干预后,两组患者的焦虑、抑郁评分均降低,且研究组均低于对照组(P<0.05);研究组患者并发症总发生率为5.56%,低于对照组患者的15.56%(P<0.05);研究组患者术后的健康教育、护士工作能力、病区管理、关爱与沟通、服务热情主动护理满意度评分均明显高于对照组(P<0.05)。结论强化认知护理干预应用于ERCP患者的围术期护理中可以明显改善患者的焦虑、抑郁水平,降低患者术后并发症发生率,提高患者的临床护理满意度,值得临床推广应用。

Objective To investigate the application effect of perioperative intensive cognitive nursing intervention in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Methods A total of 180 patients undergoing ERCP admitted in our hospital from January 2016 to December 2018 were selected as study objects, the patients were divided into control group (90 cases, routine nursing intervention) and study group (90 cases, intensive cognitive nursing intervention) by Excel random function method. The psychological status, complications and nursing satisfaction before and after intervention between the two groups were compared. Results Before intervention, there were no significant differences in anxiety and depression scores between the two groups (P>0.05). After intervention, the scores of anxiety and depression in both groups decreased, and those in the study group were lower than the control group (P<0.05). The total incidence of complications in the study group was 5.56%, which was lower than 15.56% in the control group (P<0.05). The postoperative nursing satisfaction scores of health education, nurses' working ability, ward management, care and communication, service enthusiasm and initiative in the study group were significantly higher than those in the control group (P<0.05). Conclusion The perioperative intensive cognitive nursing intervention in perioperative nursing of ERCP patients can significantly improve the level of anxiety and depression of patients, reduce the incidence of postoperative complications, and improve the satisfaction of clinical nursing, which is worthy of clinical promotion and application.