中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
22期
22-24
,共3页
胃镜检查%躯体应激%心理应激%护理干预
胃鏡檢查%軀體應激%心理應激%護理榦預
위경검사%구체응격%심리응격%호리간예
Gastroscopy%Physical stress%Psychological stress%Nurse intervention
目的 探讨综合性护理干预措施在胃镜检查中的临床效果.方法 将689例初次行胃镜检查的患者用随机方法分成观察组345例和对照组344例.观察组给予综合性护理干预措施,分别包括检查前、中、后护理干预,对照组按常规方法进行检查.结果 两组患者在胃镜检查过程中出现的恶心次数,一次插镜的成功例数,患者紧张、恐惧情况分级,胃镜前端下至十二指肠降段及乳头部所需时间,检查后咽部疼痛及腹痛腹胀发生例数等进行比较,差异均有统计学意义,观察组优于对照组(P均＜ 0.05).结论 积极的综合性护理干预措施在胃镜检查过程中可明显减少或减轻患者的躯体及心理性应激反应的发生,对消除紧张、恐惧心理,提高一次插镜的成功率,减少恶心不适和检查后咽部疼痛及腹痛腹胀的发生率,有效缩短检查所需的时间等方面均有重要意义.
目的 探討綜閤性護理榦預措施在胃鏡檢查中的臨床效果.方法 將689例初次行胃鏡檢查的患者用隨機方法分成觀察組345例和對照組344例.觀察組給予綜閤性護理榦預措施,分彆包括檢查前、中、後護理榦預,對照組按常規方法進行檢查.結果 兩組患者在胃鏡檢查過程中齣現的噁心次數,一次插鏡的成功例數,患者緊張、恐懼情況分級,胃鏡前耑下至十二指腸降段及乳頭部所需時間,檢查後嚥部疼痛及腹痛腹脹髮生例數等進行比較,差異均有統計學意義,觀察組優于對照組(P均＜ 0.05).結論 積極的綜閤性護理榦預措施在胃鏡檢查過程中可明顯減少或減輕患者的軀體及心理性應激反應的髮生,對消除緊張、恐懼心理,提高一次插鏡的成功率,減少噁心不適和檢查後嚥部疼痛及腹痛腹脹的髮生率,有效縮短檢查所需的時間等方麵均有重要意義.
목적 탐토종합성호리간예조시재위경검사중적림상효과.방법 장689례초차행위경검사적환자용수궤방법분성관찰조345례화대조조344례.관찰조급여종합성호리간예조시,분별포괄검사전、중、후호리간예,대조조안상규방법진행검사.결과 량조환자재위경검사과정중출현적악심차수,일차삽경적성공례수,환자긴장、공구정황분급,위경전단하지십이지장강단급유두부소수시간,검사후인부동통급복통복창발생례수등진행비교,차이균유통계학의의,관찰조우우대조조(P균＜ 0.05).결론 적겁적종합성호리간예조시재위경검사과정중가명현감소혹감경환자적구체급심이성응격반응적발생,대소제긴장、공구심리,제고일차삽경적성공솔,감소악심불괄화검사후인부동통급복통복창적발생솔,유효축단검사소수적시간등방면균유중요의의.
Objective To investigate the clinical effect of the comprehensive nurse intervention during gastroscopy.Methods Six hundred and eighty -nine cases of first -time gastroscope patients were randomly divided into observation group (345 cases) and control group (344 cases).The observation group was given comprehensive nurse intervention,included the intervention measures before,during and after the examinations.The control group underwent the usual examining procedures.Results Statistically meaningful differences could be found in factors of the cases of nausea,the number of once - successful insertion,the grading of tension and fear of the patient,the time needed for the front end of the gastroscope to reach the falling section of the duodenum and the papilla section,and the cases of sore throat,stomach ache and abdominal distension.The observation group has advantage over the control group ( P ＜ 0.05 ).Conclusions Positive comprehensive nurse intervention could effectively reduce the chances of stress reactions both physically and psychologically in the patients.Such intervention has practical significance in eliminating the patients' stress and fear,improving the rate of once -successful insertion,reducing nausea,sore throat,stomachache,and abdominal distension,as well as shortening the examination time.
