综合性细节护理对经食道超声心动图检查患者不良反应、血流动力学指标和护理满意度的影响

Effects of Comprehensive and Detailed Nursing Care on Adverse Reactions, Hemodynamics Index and Nursing Satisfaction in Patients Undergoing Transesophageal Echocardiography Examination

目的:探讨综合性细节护理在经食道超声心动图检查中的应用效果。方法:选取2018年12月—2020年12月驻马店市中心医院收治的94例经食道超声心动图检查的患者作为研究对象,根据抽签法分为对照组和观察组,每组各47例。对照组采用常规护理,观察组采用综合性细节护理。比较两组患者护理前后心理状态、血流动力学指标、不良反应和护理满意度。结果:护理前,两组患者SAS评分、SDS评分比较,差异无统计学意义(t=0.777、0.701,P>0.05);护理后,两组患者SAS评分、SDS评分均下降,且观察组低于对照组,差异有统计学意义(t=3.586、3.385,P<0.05)。护理前,两组患者舒张压、收缩压和心率指标比较,差异无统计学意义(t=0.090、0.352、0.252,P>0.05);护理后,观察组舒张压、收缩压和心率指标低于对照组,差异有统计学意义(t=2.308、3.260、3.085,P<0.05)。观察组不良反应发生率为6.38%,低于对照组的23.40%,差异有统计学意义(χ^(2)=5.371,P<0.05)。观察组护理满意度各项评分明显高于对照组,差异有统计学意义(t=3.382、2.699、3.560、3.359、3.424,P<0.05)。结论:综合性细节护理可对经食道超声心动图检查患者负面情绪起到缓解作用,能够减少血流动力学波动风险,降低不良反应发生率,提高护理工作满意度。

Objective:To explore the application effect of comprehensive detailed nursing in transesophageal echocardiography.Methods:A total of 94 patients with transesophageal echocardiography who were admitted to the hospital from December 2018 to December 2020 were selected as the research objects, and divided into the control group and the observation group according to the lottery method, with 47 cases in each group. The control group received routine nursing, and the observation group received comprehensive detailed nursing. The psychological state, hemodynamic indexes, adverse reactions and nursing satisfaction were compared between the two groups before and after nursing.Results:Before nursing, there was statistically no significant difference in SAS and SDS scores between the two groups(t=0.777, 0.701, P>0.05). After nursing, the SAS and SDS scores of the two groups were decreased, and the observation group was lower than the control group, the difference was statistically significant(t=3.586, 3.385, P<0.05). Before nursing, there was no statistically significant difference in diastolic blood pressure, systolic blood pressure and heart rate between the two groups(t=0.090, 0.352, 0.252, P>0.05). After nursing, the indexes of diastolic blood pressure, systolic blood pressure and heart rate in the observation group were lower than those in the control group, and the differences were statistically significant(t=2.308, 3.260, 3.085, P<0.05). The incidence of adverse reactions in the observation group was6.38%, which was lower than 23.40% in the control group, and the difference was statistically significant(χ^(2)=5.371, P<0.05). The nursing satisfaction scores in the observation group were significantly higher than those in the control group, and the difference was statistically significant(t=3.382, 2.699, 3.560, 3.359, 3.424, P<0.05).Conclusion:Comprehensive detailed nursing can alleviate the negative emotions of patients undergoing transesophageal echocardiography, reduce the risk of hemodynamic fluctuations, reduce the incidence of adverse reactions, and improve nursing satisfaction.