不同护理模式在无痛消化内镜检查术中的应用效果

The Application Effect of Different Nursing Modes in Painless Digestive Endoscopy

目的研究不同护理模式在无痛消化内镜检查术中的应用效果。方法选取2018年8年-2020年8月我院行无痛消化内镜检查的108例患者为研究对象,采用随机数字表法分为对照组和观察组,各54例。对照组实施常规护理,观察组实施全程护理,比较两组心率、血压、焦虑和抑郁评分、疼痛评分、护理满意度以及不良反应发生率。结果观察组术中心率、舒张压、收缩压均低于对照组,差异有统计学意义(P<0.05);两组术后心率、舒张压、收缩压比较,差异无统计学意义(P>0.05);两组干预后焦虑、抑郁评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组疼痛评分为(2.31±0.40)分,低于对照组的(4.19±0.36)分,差异有统计学意义(P<0.05);观察组护理满意度为96.30%,高于对照组的83.33%,差异有统计学意义(P<0.05);观察组不良反应总发生率为9.26%,低于对照组的20.37%,差异有统计学意义(P<0.05)。结论全程护理干预可减轻无痛消化内镜检查对心率和血压的影响,改善患者焦虑、抑郁等不良情绪,减轻检查过程中的疼痛程度,提高护理满意度,降低不良反应发生几率。

Objective To study the application effect of different nursing modes in painless digestive endoscopy.Methods A total of 108 patients who underwent painless digestive endoscopy in our hospital from August 2018 to August 2020 were selected and randomly divided into control group and observation group,with 54 cases in each group.The control group received routine nursing,while the observation group received whole-course nursing.The heart rate,blood pressure,anxiety and depression scores,pain scores,nursing satisfaction and incidence of adverse reactions were compared between the two groups.Results During the operation,the heart rate,diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05);after operation,there was no significant difference in heart rate,diastolic blood pressure and systolic blood pressure between the two groups(P>0.05).The anxiety and depression scores of the two groups after intervention were lower than those before intervention,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).The pain score of the observation group was(2.31±0.40)scores,which was lower than(4.19±0.36)scores of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.30%,which was higher than 83.33% of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was 9.26%,which was lower than 20.37% in the control group,and the difference was statistically significant(P<0.05).Conclusion The whole-course nursing intervention can reduce the influence of painless digestive endoscopy on heart rate and blood pressure,improve patients'anxiety,depression and other adverse emotions,reduce the degree of pain in the examination process,improve nursing satisfaction,and reduce the incidence of adverse reactions.