全视角风险预控护理管理在老年消化内镜诊疗患者中的应用观察

Observation on application of full-view risk pre-control nursing management in elderly patients undergoing digestive endoscopy diagnosis and treatment

目的探究全视角风险预控护理管理在老年消化内镜诊疗患者中的应用。方法选择2021年1月—2022年12月在唐山职业技术学院附属医院行消化内镜诊疗的老年患者110例,按简单随机化分组法分为观察组(n=55例)和对照组(n=55例)。观察组在消化内镜诊疗前后采取全视角风险预控护理管理,对照组在消化内镜诊疗前后予以常规窥镜室护理。观察并比较2组的内镜干预情况(胃肠功能恢复时间、住院时间、不良反应发生率);比较2组在消化内镜诊疗前后的心理应激程度评估值[症状自评量表(SCL-90)评分]和生理应激指标值[心率(HR)、收缩压、舒张压、皮质醇(Cor)水平];比较干预前和干预1周后2组衰弱风险评估值[Fried表型衰弱量表(FP)评分]、睡眠情况评估值[匹兹堡睡眠质量指数(PSQI)总评分]和生活质量评估值[健康调查简表(SF-36)评分]。结果诊疗后,观察组的胃肠功能恢复时间、住院时间和不良反应发生率均显著少/低于对照组(P<0.05);2组SCL-90评分和生理应激指标值均低于同组诊疗前(P<0.05),观察组SCL-90评分和生理应激指标值均显著低于对照组(P<0.05)。干预1周,2组PSQI评分均低于同组干预前(P<0.05),观察组PSQI评分低于对照组(P<0.05);2组SF-36评分均高于同组干预前(P<0.05),观察组SF-36评分显著高于对照组(P<0.05)。结论全视角风险预控护理管理应用在老年消化内镜诊疗患者中,可有效降低老年患者在消化内镜诊疗过程中可能出现的风险和不良反应发生,提高患者生活质量。

Objective To explore the application of full-view risk pre-control nursing management in elderly patients undergoing digestive endoscopy diagnosis and treatment.Methods 110 elderly patients undergoing digestive endoscopy diagnosis and treatment in Affiliated Hospital of Tangshan Vocational and Technical College from January 2021 to December 2022 were selected and divided into observation group(n=55)and control group(n=55)according to simple randomized grouping method.The observation group received full-view risk pre-control nursing management before and after digestive endoscopy diagnosis and treatment,while the control group received routine endoscopic room nursing before and after digestive endoscopy diagnosis and treatment.The endoscopic intervention conditions(gastrointestinal function recovery time,hospital stay,incidence of adverse reactions)of the two groups were observed and compared.The psychological stress assessment values(SCL-90 score)and physiological stress index values[(heart rate(HR),systolic blood pressure,diastolic blood pressure,cortisol(Cor)level)]were compared between the two groups before and after endoscopic diagnosis and treatment.The risk of frailty[Fried Phenotype Frailty Scale(FP)score],sleep condition[total score of Pittsburgh Sleep Quality Index(PSQI)]and quality of life[36-Item Short-Form Health Survey(SF-36)]were compared between the two groups before intervention and one week after intervention.Results After diagnosis and treatment,the gastrointestinal function recovery time,hospital stay and incidence of adverse reactions in the observation group were significantly shorter/lower than those in the control group(P<0.05);the SCL-90 scores and physiological stress index values of the two groups were lower than those of the same group before treatment(P<0.05),and the SCL-90 score and physiological stress index values of the observation group were significantly lower than those of the control group(P<0.05).After one week of intervention,the PSQI scores of the two groups were lower than those of the same group before the intervention(P<0.05),and the PSQI score of the observation group was lower than that of the control group(P<0.05);the SF-36 scores of the two groups were higher than those of the same group before intervention(P<0.05),and the SF-36 score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The application of full-view risk pre-control nursing management in elderly patients undergoing digestive endoscopy diagnosis and treatment can effectively reduce the possible risks and adverse reactions that may occur during the process of digestive endoscopy diagnosis and treatment,and improve the quality of life of patients.