情景模拟教育联合音乐护理干预在无痛胃镜检查中的应用

Application of scenario simulation education combined with music nursing intervention in painless gastroscopy

目的探讨在无痛胃镜检查患者中采取情景模拟教育联合音乐护理的效果。方法选取2020年10月至2022年10月赣州市妇幼保健院接受无痛胃镜检查的68例患者作为研究对象,按照随机数字表法将分为对照组(34例)和观察组(34例)。对照组采用常规护理,观察组在对照组基础上接受情景模拟教育联合音乐护理。比较两组患者生命体征变化、精神状态、检查后的疼痛程度及并发症发生率。结果观察组检查后收缩压、舒张压、心率均低于对照组,差异有统计学意义(P<0.05)。观察组检查后简易精神状态检查量表(MMSE)评分高于对照组,焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05)。观察组检查后疼痛程度轻于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论情景模拟教育联合音乐护理干预可维持无痛胃镜检查患者生命体征稳定,改善患者不良精神状态,降低患者疼痛程度,恶心呕吐、咽喉疼痛等并发症更少。

Objective To explore the effect of scenario simulation education combined with music nursing intervention in patients with painless gastroscopy.Methods A total of 68 patients received painless gastroscopy in Ganzhou Women and Children's Health Care Hospital from October 2020 to October 2022 were selected as the study objects,and they were divided into control group(34 cases)and observation group(34 cases)according to random number table method.The control group received routine nursing,and the observation group received scenario simulation education combined with music nursing intervention.The changes of vital signs,mental state,pain degree and complication rate were compared between the two groups.Results The systolic blood pressure,diastolic blood pressure and heart rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After examination,the mini-mental state examination(MMSE)score of the observation group was higher than that of the control group,and the scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observation group were lower than those of the control group,with statistical significances(P<0.05).The severity of pain in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Scenario simulation education combined with music nursing intervention can maintain the stability of vital signs in patients with painless gastroscopy,improve the adverse mental state of patients,reduce the pain degree of patients,and reduce the complications such as nausea,vomiting and sore throat.