围术期全程优质护理对无痛胃肠镜检查患者负性情绪及术中麻药用量的影响

Effect of Perioperative Quality Nursing on Negative Emotion and Anesthetic Dosage of Painless Gastrointestinal Endoscopy Patients

目的:探讨围术期全程优质护理在缓解无痛胃肠镜检查患者负性情绪及降低麻醉药量中的临床价值。方法:纳入2017年1月-2018年12月在笔者所在医院就诊的接受无痛胃肠镜检查患者162例,根据随机数字表法分为对照组81例和观察组81例。对照组给予常规护理,观察组给予围术期全程优质护理。观察两组患者负性情绪(SAS和SDS评分)、术中应激情况(血压和心率)、麻醉药物用量、胃肠镜检查时间及呼吸抑制发生率。结果:护理后,两组SAS评分和SDS评分均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组术中收缩压、舒张压、平均动脉压和心率均低于对照组,差异均有统计学意义(P<0.05);观察组麻醉药物用量少于对照组,胃肠镜检查时间短于对照组,呼吸抑制发生率(4.94%)低于对照组(13.58%),差异均有统计学意义(P<0.05)。结论:对于无痛胃肠镜检查患者开展围术期全程优质护理,有利于缓解患者的不良心理状况及减少麻醉药物用量,值得临床推广。

Objective:To explore the clinical value of perioperative quality nursing in alleviating negative emotions of patients undergoing painless gastrointestinal endoscopy and reducing the amount of anesthetics.Method:A total of 162 patients who received painless gastrointestinal endoscopy in our hospital from January 2017 to December 2018 were enrolled.According to the random number table,the patients were divided into the control group and the observation group,with 81 cases each.The control group was given routine nursing,while the observation group was given perioperative high-quality nursing.The negative emotions(SAS and SDS scores),intraoperative stress(blood pressure and heart rate),dosage of anesthetics,duration of gastrointestinal endoscopy and incidence of respiratory depression were observed.Result:After nursing,the SAS score and SDS score of the two groups were lower than those before nursing,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).The systolic pressure,diastolic pressure,mean arterial pressure and heart rate of the observation group were significantly lower than those of the control group(P<0.05).The dosage of anesthetic drugs in the observation group was less than that in the control group,the time of gastrointestinal endoscopy was shorter than that in the control group,and the incidence of respiratory inhibition(4.94%)was lower than that in the control group(13.58%),the differences were statistically significant(P<0.05).Conclusion:High-quality perioperative nursing for painless gastrointestinal endoscopy patients is helpful to alleviate the adverse psychological conditions of patients and reduce the dosage of narcotic drugs,which is worthy of clinical promotion.