无痛性消化内镜诊疗护理干预的效果分析

Effect Analysis of Nursing Intervention in Painless Digestive Endoscopy

目的分析无痛性消化内镜诊疗患者身心状况、护理需求,评价综合护理干预辅助对患者诊疗的促进作用。方法选择医院2019年8月—2020年8月的200例无痛性消化内镜诊疗患者,按照患者入院先后顺序分组护理,对照组100例采取常规护理,观察组100例采取综合护理干预,获得伦理委员会批准,参与患者知情同意配合。比较两组无痛性消化内镜诊疗患者的护理效果,包括诊疗成功率、护理满意度、并发症发生率以及心率、舒张压、收缩压、焦虑情绪评分、遵医行为情况。其中,患者的焦虑情绪状况以焦虑自评量表(self-rating anxiety scale,SAS)进行评估。结果组间诊疗成功率、护理满意度比较,观察组患者的对应占比率均明显高于对照组,差异有统计学意义(P<0.05);组间心率以及舒张压、收缩压水平比较,观察组比较对照组更为平稳,差异有统计学意义(P<0.05);组间SAS评分情况比较,观察组患者的SAS评分明显低于对照组(P<0.05);组间遵医行为情况比较,观察组患者的依从率明显高于对照组,差异有统计学意义(P<0.05);组间心跳骤停、消化道穿孔、呼吸骤停等并发症发生率比较,观察组发生率2.00%明显低于对照组患者的25.00%,差异有统计学意义(P<0.05)。结论无痛性消化内镜诊疗期间可能造成患者身心应激反应,从而影响诊疗工作的开展和效果,甚至影响患者的安全性。无痛性消化内镜诊疗期间予以患者综合护理干预,可以稳定患者生命体征、情绪,进而提升患者的诊疗效果与安全性,护理效果理想。

Objective To analyze the physical and mental status and nursing needs of patients with painless digestive endoscopy diagnosis and treatment,and to evaluate the promoting effect of comprehensive nursing intervention assistance on patients’diagnosis and treatment.Methods A total of 200 patients with painless digestive endoscopy diagnosis and treatment in our hospital from August 2019 to August 2020 were selected and divided into groups for nursing according to the order of admission.100 patients in the control group were received routine nursing,and 100 patients in the observation group were received comprehensive nursing intervention,which was approved by the ethics committee and participated in informed consent cooperation of patients.The nursing effects of painless digestive endoscopic diagnosis and treatment were compared between the two groups,including the success rate of diagnosis and treatment,nursing satisfaction,complication rate,heart rate,diastolic blood pressure,systolic blood pressure,anxiety score and compliance behavior.Among them,patients’anxiety was assessed by self-rating anxiety scale(SAS).Results The ratio of success rate of diagnosis and treatment and nursing satisfaction among groups was significantly higher in observation group than in control group,the difference was statistically significant(P<0.05).The heart rate,diastolic blood pressure and systolic blood pressure of the observation group were more stable than those of the control group,the difference was statistically significant(P<0.05).SAS score of observation group was significantly lower than that of control group,the difference was statistically significant(P<0.05).The compliance rate of medical behavior in observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05).The incidence of complications such as cardiac arrest,digestive tract perforation and respiratory arrest was significantly lower in the observation group(2.00%)than in the control group(25.00%),the difference was statistically significant(P<0.05).Conclusion During the diagnosis and treatment of painless digestive endoscopy,patients may experience physical and mental stress reaction,thus affecting the development and effect of diagnosis and treatment,and even affecting the safety of patients.During the diagnosis and treatment of painless digestive endoscopy,comprehensive nursing intervention can stabilize patients’vital signs and emotions,thus improving the diagnosis and treatment effect and safety of patients,and the nursing effect is ideal.