超声胃镜检查患者清醒镇静期间护理需求的影响因素

Influencing factors of nursing needs in patients with ultrasonic gastroscopy during conscious sedation

目的观察超声胃镜检查患者清醒镇静期间的护理需求,并探讨相关影响因素。方法纳入2018年2月—2019年10月广东省汕头市中心医院内镜中心就诊87例超声胃镜检查患者,设计基线资料调查表,于胃镜检查实施前详细询问、记录患者一般资料。采用自制清醒镇静护理调查表评估患者护理需求,根据总分≥8分的患者纳入护理高需求组,<8分的患者纳入护理低需求组。纳入全部可能因素,经单因素及多因素logistic回归分析找出超声胃镜检查患者清醒镇静期间的护理高需求的影响因素。结果87例患者在超声胃镜检查过程中,清醒镇静护理低需求62例,占71.26%。不同护理需求组患者对胃镜诊疗的了解、受教育程度、医师操作年限、使用盐酸利多卡因胶浆、检查前焦虑程度比较,差异有统计学意义(P<0.05)。经单项回归分析结果显示,患者不了解胃镜诊疗、受教育程度低、医师操作年限短、使用盐酸利多卡因胶浆、检查前重度焦虑均可能是影响超声胃镜检查患者清醒镇静期间护理高需求的影响因素(OR>1,P<0.05)。多因素logistic回归结果显示,患者不了解胃镜诊疗、受教育程度低、医师操作年限短、使用盐酸利多卡因胶浆、检查前重度焦虑均是超声胃镜检查患者清醒镇静期间护理高需求的影响因素(OR>1,P<0.05)。结论部分超声胃镜检查患者清醒镇静期间的护理需求偏高,可能与患者不了解胃镜诊疗、受教育程度低、医师操作年限短、使用盐酸利多卡因胶浆、检查前重度焦虑等因素有关,临床可据此开展针对性干预。

Objective To observe the nursing needs of patients undergoing ultrasound gastroscopy during conscious sedation,and to discuss related influencing factors.Methods A total of 87 patients undergoing ultrasound gastroscopy from the Endoscopy Center of Shantou Central Hospital,Guangdong Province from February 2018 to October 2019 were enrolled,and a baseline data survey form was designed to inquire and record the general information of the patients in detail before the implementation of the gastroscopy.A self-made sober and sedative nursing questionnaire was used to assess the nursing needs of patients,and patients with a total score of more than eight scores were included in the high-need care group,and those with a score of less than eight scores were included in the low-need care group.All possible factors were included,while single factor and multivariate logistic regression analysis were used to find out the factors affecting the high demand for nursing needs in patients with ultrasonic gastroscopy during conscious sedation.Results During the ultrasound gastroscopy of 87 patients,a total of 62 patients had low demand for conscious and sedative care,accounting for 71.26%.There were statistically significant differences in the understanding of gastroscopy diagnosis and treatment,education level,operating years of doctors,using of Lidocaine hydrochloride glue,and severe anxiety before the examination among patients in different nursing needs groups(P<0.05).The results of a single regression analysis showed that patients’ignorance of gastroscopy diagnosis and treatment,low level of education,short operating years of doctors,using of Lidocaine hydrochloride glue,and severe anxiety before the examination were all influencing factors of the high demand for nursing needs in patients with ultrasonic gastroscopy during conscious sedation(OR>1,P<0.05).The results of multivariate logistic regression showed that patients’ignorance of gastroscopy diagnosis and treatment,low level of education,short operating time of doctors,using of Lidocaine hydrochloride glue,and severe anxiety before the examination were all factors affecting the high demand for nursing needs in patients with ultrasonic gastroscopy during conscious sedation(OR>1,P<0.05).Conclusion Some patients undergoing ultrasound gastroscopy have a high demand for care during the conscious and sedation period,which may be related to factors such as patients’ignorance of gastroscopy diagnosis and treatment,low education,short operating years of doctors,using of Lidocaine hydrochloride glue,and severe anxiety before the examination.Clinically,targeted interventions can be carried out accordingly.