改良体位联合精细化护理对胃镜检查患者配合度、心理状态及不适症状的影响

Effects of improved posture combined with refined nursing on cooperation,psychological state and discomfort symptoms of patients undergoing gastroscopy

目的探讨改良体位联合精细化护理对胃镜检查患者不适症状、配合度以及心理状态的影响。方法选取2017年6月—2020年6月在医院门诊进行胃镜检查的患者100例为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,每组50例。对照组患者取侧卧位,同时进行常规健康宣教;观察组在对照组基础上采用改良体位联合精细化护理。比较两组患者配合度、心理状态、胃镜检查过程中的不适症状发生情况及护理满意度。结果观察组配合度高于对照组,差异具有统计学意义(P<0.05)。干预前两组患者焦虑和抑郁评分比较差异无统计学意义(P>0.05);干预后,观察组患者焦虑、抑郁评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者胃镜检查过程中不适症状发生率低于对照组,差异具有统计学意义(P<0.05)。观察组胃镜检查中满意程度高于对照组,差异具有统计学意义(P<0.05)。结论胃镜作为一项侵入性操作,使患者出现害怕、紧张的情绪,通过改良体位联合精细化护理有助于减少患者在检查过程中的不适感,使患者处于一个良好的心理状态,增强患者的配合度,进而大大提升患者的依从性和护理满意度,有效提升护理质量,促进和谐的护患关系。

Objective To explore the effects of improved posture combined with refined nursing on cooperation,psychological state and discomfort symptoms of patients undergoing gastroscopy.Methods To select 100 patients who underwent gastroscopy in hospital outpatient clinics from June 2017 to June 2020 as the study objects,and they were divided into a control group and an observation group according to the principle of comparability of basic data between groups,with 50 cases in each group.The patients in the control group were placed in the lateral recumbent position and received routine health education at the same time;the patients in the observation group were treated with improved posture combined with refined nursing on the basis of the control group.The degree of cooperation,psychological state,discomfort symptoms during gastroscopy and nursing satisfaction were compared between the two groups.Results The degree of cooperation in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the scores of anxiety and depression between the two groups(P>0.05).After the intervention,the scores of anxiety and depression in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of discomfort symptoms during gastroscopy in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction during gastroscopy in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Gastroscopy was an invasive operation,which maked patients feel afraid and nervous.We can help reduce the discomfort of patients during the examination process through postural care combined with refined nursing,which can make patients in a good psychological state,and enhance the degree of cooperation of patients.This can greatly improve patient compliance and nursing satisfaction,effectively improve nursing quality,and promote a harmonious nurse-patient relationship.