细节与风险双轨护理管理在消化内镜护理中的应用及对生理、心理应激的影响

The Application of Detail and Risk Dual Track Nursing Management in Digestive Endoscopic Nursing and Its Influence on Physiological and Psychological Stress

目的探讨细节与风险双轨护理管理在消化内镜护理中的应用及对生理、心理应激的影响。方法选取2022年1月-2024年1月在本院行消化内镜诊疗的患者106例,随机数字表法分组,即对照组(n=53)和观察组(n=53),对照组接受常规护理,观察组接受细节与风险双轨护理管理,统计两组诊疗期间胃肠功能恢复时间、住院时间、心理应激程度、生理应激指标、不良反应。结果观察组胃肠功能恢复时间、住院时间短于对照组(P<0.05);诊疗前,两组SCL-90评分量表各个项目比较,P>0.05,诊疗后,两组SCL-90评分量表各个项目评分均低于诊疗前(P<0.05),观察组SCL-90评分量表中抑郁、焦虑、恐怖评分均低于对照组(P<0.05);诊疗前,两组生理应激指标比较,P>0.05,诊疗后,两组生理应激指标均高于诊疗前(P<0.05),观察组生理应激指标水平均低于对照组(P<0.05);两组不良反应比较,P>0.05。结论细节与风险双轨护理管理可促进患者胃肠功能恢复,缩短住院时间,减轻心理应激程度,降低生理应激指标水平。

Objective To explore the application of detail and risk dual track nursing management in digestive endoscopic nursing and its influence on physiological and psychological stress.Methods A total of 106 patients undergoing digestive endoscopy in our hospital from January 2022 to January 2024 were selected and divided into two groups by random number table method,namely control group(n=53)and observation group(n=53).The control group received routine nursing,while the observation group received dual-track nursing management with details and risks.The recovery time of gastrointestinal function,hospitalization time,psychological stress degree,physiological stress index and adverse reactions were counted in the two groups during diagnosis and treatment.Results The time of gastrointestinal function recovery and hospitalization in the observation group were shorter than those in the control group(P<0.05).Before diagnosis and treatment,all items of SCL-90 scoring scale were compared between the two groups,P>0.05;after diagnosis and treatment,all items of SCL-90 scoring scale of the two groups were lower than before diagnosis and treatment(P<0.05);depression,anxiety and terror scores of SCL-90 scoring scale of the observation group were lower than those of the control group(P<0.05);before diagnosis and treatment,the physiological stress indexes of the two groups were compared,P>0.05;after diagnosis and treatment,the physiological stress indexes of the two groups were higher than those before diagnosis and treatment(P<0.05),and the physiological stress indexes of the observation group were lower than those of the control group(P<0.05);the adverse reactions of the two groups were compared,P>0.05.Conclusion Detail and risk dual track nursing management can promote the recovery of gastrointestinal function,shorten hospital stay,reduce the degree of psychological stress,and reduce the level of physiological stress index.