流程化护理在无痛胃肠镜检查术中的应用探讨

Application of Flow Nursing in Painless Gastroscopy

目的研讨无痛胃肠镜检查患者接受流程化护理干预的临床价值。方法以2015年1月至2016年12月在我院接受无痛胃肠镜检查的200例患者为观察对象,按随机非盲法对其进行平均分组,Ⅰ组100例按常规标准进行护理干预,Ⅱ组100例施行流程化护理,观察分析两组的麻醉药使用量、检查时间、心理状况及护理满意度等指标。结果Ⅱ组在检查期间出现紧张、恐惧的概率依次为2.0%和6.0%,显著低于Ⅰ组的17.0%和21.0%,比较差异有统计学意义(P<0.05)。在护理满意度上,Ⅱ组调查结果显示总满意度为96.0%,显著高于Ⅰ组的83.0%,比较差异有统计学意义(P<0.05)。在麻醉药使用量、检查时间方面,与Ⅰ组相比,Ⅱ组均占明显优势,比较差异有统计学意义(P<0.05)。结论在无痛胃肠镜检查过程中推行流程化护理,能够有效缩短检查时间、减少麻醉药使用量,同时对减轻患者负性情绪、提升其护理满意度也具有重要作用,值得推荐。

Objective To investigate the clinical value of procedural nursing intervention in patients with painless gastrointestinal endoscopy. Methods From January 2015 to December 2016 in our hospital painless gastroscopy examination of 200 patients as the object of observation, according to the random non blind method for its average grouping, the patients were randomly divided into groups according to randomized and non-blinded methods. Group Ⅰ 100 patients were treated according to the routine standard Intervention, Ⅱgroup of 100 cases of the implementation of the process of care, observation and analysis of the two groups of anesthetic use, examination time, psychological status and nursing satisfaction indicators. Results In group Ⅱ, the probability of nervousness and fear were 2.0%and 6.0% respectively, significantly lower than those in group Ⅰ 17.0% and 21.0%, the difference was statistically significant(P<0.05).In nursing satisfaction, the results of group Ⅱ showed that the total satisfaction was 96.0%, which was significantly higher than 83.0% of group Ⅰ, the difference was statistically significant(P<0.05). Compared with group Ⅰ, group Ⅱ had obvious advantages in the amount and time of narcotic use, and the difference was statistically significant(P<0.05). Conclusions The introduction of process-based nursing during painless gastrointestinal endoscopy can effectively shorten the examination time and reduce the amount of anesthetics used. It is also recommended to relieve the negative emotions of patients and enhance their satisfaction with nursing care.