多层面干预在无痛胃镜检查患者中的临床效果观察

Clinical effect of multi-level intervention in patients undergoing painless gastroscopy

[目的]研究多层面干预在无痛胃镜检查患者中的临床效果观察。[方法]根据随机数字表法将接受无痛胃镜检查的门诊患者110例分为观察组(55例)与对照组(55例),观察组实施多层面干预,对照组实施常规护理。将2组的满意度评分、检查情况、检查依从性、血压、心率、血氧饱和度、不良反应发生率进行比对。[结果]观察组患者检查过程中的血压、心率均低于对照组,血氧饱和度高于对照组,差异有统计学意义(P<0.05);观察组患者体位改变后的满意度、对内镜医生操作的满意度以及护士的满意度评分均高于对照组,差异具有统计学意义(P<0.05);观察组患者的进镜顺利、检查成功率高于对照组,检查时间短于对照组,不良反应发生率低于对照组,差异具有统计学意义(P<0.05);观察组患者的检查依从性优良率高于对照组,差异具有统计学意义(P<0.05)。[结论]对患者行无痛胃镜检查期间实施多层面干预可提高检查依从性,缩短检查时间,减少不良反应的发生,提高检查成功率和满意度。

[Objective]To study the clinical effect of multi-level intervention in patients undergoing painless gastroscopy.[Methods]According to the random number table method,110 outpatients were divided into two groups.The 55 cases in the control group received routine nursing and 55 cases in the observation group received multi-level intervention.The satisfaction scores,examination conditions,examination compliance,blood pressure,heart rate,blood oxygen saturation,and incidence of adverse reactions were compared between the two groups.[Results]The blood pressure and heart rate before,during and after the examination in the multi-level intervention group were lower than those in the control group,and the blood oxygen saturation was higher than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction scores of endoscopists,patients and nurses in the multi-faceted intervention group were significantly higher than those in the control group(P<0.05).The patients in the multi-facet intervention group had smooth access to the mirror,the success rate of examination was higher than that in the control group,the examination time was shorter than that in the control group,and the incidence of adverse reactions was lower than that in the control group(P<0.05).The excellent and good rate of examination compliance in the multi-facet intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).[Conclusion]The implementation of multi-layer intervention during painless gastroscopy can improve the examination compliance,shorten the examination time,reduce the occurrence of adverse reactions,and improve the examination success rate and satisfaction.