心理护理干预在无痛肠镜检查中的应用效果观察

Observation on the Effect of Psychological Nursing Intervention in Painless Colonoscopy

目的观察无痛肠镜检查中心理护理干预的应用效果。方法回顾性选取2020年1—12月本院无痛肠镜检查患者6000例,依据护理干预方法分为在常规护理干预基础上行心理护理干预组(心理护理干预组)、常规护理干预组两组,每组各3000例,统计分析两组患者的生命体征、不良心理状态、不良反应发生情况、麻醉后眩晕发生情况、愿意接受复查情况。结果心理护理干预组患者检查中较检查前的呼吸频率(respiratory rate,RR)、心率(heart rate,HR)、收缩压(systolic pressure,SBP)、舒张压(diastolic pressure,DBP)、血氧饱和度(blood oxygen saturation,SpO2)升高幅度均显著低于常规护理干预组(P<0.05)。心理护理干预组患者的不良心理状态发生率为3.3%(100/3000),显著低于常规护理干预组的16.7%(500/3000)(P<0.05)。心理护理干预组患者的不良反应发生率为4.0%(120/3000),显著低于常规护理干预组15.0%(450/3000)(P<0.05)。心理护理干预组患者的麻醉后恢复期跌倒发生发生率为0.8%(25/3000),显著低于常规护理干预组的25.0%(750/3000)(P<0.05)。心理护理干预组患者愿意接受复查率为96.7%(2900/3000),显著高于常规护理干预组的56.7%(1700/3000)(P<0.05)。结论无痛肠镜检查中心理护理干预的应用效果好。

Objective To observe the application effect of psychological nursing intervention in painless colonoscopy.Methods A total of 6000 cases of painless colonoscopy patients in our hospital from January 2020 to December 2020 were retrospectively selected.According to nursing intervention methods,they were divided into psychological nursing intervention group based on conventional nursing intervention(psychological nursing intervention group)and conventional nursing intervention group,with 3000 cases in each group.Statistical analysis of vital signs,adverse psychological status,adverse reactions,dizziness after anesthesia,willing to accept review of the two groups of patients.Results Comparison of respiratory rate(RR),heart rate(HR),systolic pressure(SBP),diastolic pressure(DBP)and blood oxygen saturation(SpO2)in psychological nursing intervention group were significantly lower than those in the conventional nursing intervention group(P<0.05).The incidence of adverse mental state in psychological nursing intervention group was 3.3%(100/3000)significantly lower than 16.7%(500/3000)in conventional nursing intervention group(P<0.05).The incidence of adverse reactions in psychological nursing intervention group was 4.0%(120/3000)significantly lower than 15.0%(450/3000)in conventional nursing intervention group(P<0.05).The incidence of fall after anesthesia in psychological nursing intervention group was 0.8%(25/3000)significantly lower than 25.0%(750/3000)in conventional nursing intervention group(P<0.05).The willing rate of 96.7%(2900/3000)was significantly higher than 56.7%(1700/3000)in conventional nursing intervention group(P<0.05).Conclusion The application effect of psychological nursing intervention in painless colonoscopy is good.