心理护理结合舒适护理对行无痛胃镜检查患者应激反应和舒适度的影响

Effects of psychological nursing combined with comfort care on stress response and comfort of patients undergoing painless digestive endoscopy

目的探讨心理护理结合舒适护理对行无痛胃镜检查患者的应激反应和舒适度的影响。方法采用便利抽样法,选取2019年1~12月于聊城市人民医院行无痛胃镜检查的200例患者作为对照组,选取2020年1~10月于聊城市人民医院行无痛胃镜检查的200例患者作为观察组。对照组患者实施常规护理,观察组患者实施心理护理结合舒适护理。比较两组患者的心理和生理应激反应、舒适度,以及并发症发生率。结果经护理干预后,两组于检查前和检查后30 min的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均较同组入院时显著降低(P值均<0.05),且观察组的SAS和SDS评分均显著低于同期对照组(P值均<0.05)。两组于检查前和检查中的心率(HR)和平均动脉压(MAP)均较同组入院时显著升高(P值均<0.05),且观察组的HR和MAP均显著低于同期对照组(P值均<0.05)。观察组的舒适度显著高于对照组(P<0.05),恶心、呕吐以及肌肉紧张的发生率均显著低于对照组(P值均<0.05)。结论心理护理结合舒适护理可减轻无痛胃镜检查患者的应激反应,提高其舒适度,减少并发症发生。

Objective To explore the effects of psychological nursing combined with comfort care on stress response and comfort of patients undergoing painless digestive endoscopy.Methods By using the convenient sampling method,200 patients who underwent painless digestive endoscopy at Liaocheng People's Hospital from January to December 2019 were selected as the control group,and 200 patients who underwent painless digestive endoscopy at Liaocheng People's Hospital from January to October 2020 were selected as the observation group.The control group received routine nursing,and observation group received psychological nursing combined with comfort care.The psychological and physiological stress response,comfort and incidence of complications were compared between the two groups.Results After nursing intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the two groups before and 30 minutes after the examination were significantly lower than those of the same group at admission(all P<0.05),and the SAS and SDS scores of the observation group were significantly lower than those of the control group during the same period(all P<0.05).The heart rate(HR)and mean arterial pressure(MAP)of the two groups before and during the examination were significantly higher than those of the same group at admission(all P<0.05),and the HR and MAP of the observation group were significantly lower than those of the control group(all P<0.05).The comfort of the observation group was significantly higher than that of the control group(P<0.05),and the incidence of nausea or vomiting and muscle tension were significantly lower than those of the control group(both P<0.05).Conclusion Psychological nursing combined with comfort care can reduce the stress response of patients undergoing painless digestive endoscopy,improve the comfort and reduce the incidence of complications.