CAJ | 학술논문

目的通过对国内所有已经发表的有关心理护理对胃镜检查患者的影响的随机对照进行系统的评价,从而进一步分析心理护理模式在临床中应用的价值.方法采用Cochrane center提供的有关的研究方法,采用RevMan5.1.2软件对所有纳入的文献所有评价进行质量评价、Meta-分析.结果本研究共计纳入13篇文献.研究显示心理护理对胃镜检查前、后患者的心率、咳嗽、舒张压的影响差异无统计学意义P>0.05；而对于检查过程中心率、舒张压、恶心的影响差异有统计意义分别为[SMD =-1.09,95%CI(-1.70~-0.48), P=0.0004]、[SMD=-0.50,95%CI(-0.87~-0.12), P=0.01]、[RR=0.28,95%CI(0.13~0.61), P=0.001]；对于收缩压的影响较为明显,表现为检查前、中、后差异均有统计学意义,分别为[SMD =-0.08,95%CI(-0.14~-0.01), P=0.02]；[SMD =-1.24,95%CI(-2.34~-0.15), P=0.03]；[SMD =-0.64,95%CI(-1.09~-0.20), P=0.005].结论本研究发现接受胃镜检查或治疗中接受心理护理的患者的心率波动、恶心不适发生率低于对照组,而胃镜检查对血压影响程度在对照组表现突出,有效的胃镜检查前的心理护理模式的临床应用可以推广.
목적통과대국내소유이경발표적유관심리호리대위경검사환자적영향적수궤대조진행계통적평개,종이진일보분석심리호리모식재림상중응용적개치.방법채용Cochrane center제공적유관적연구방법,채용RevMan5.1.2연건대소유납입적문헌소유평개진행질량평개、Meta-분석.결과본연구공계납입13편문헌.연구현시심리호리대위경검사전、후환자적심솔、해수、서장압적영향차이무통계학의의P>0.05；이대우검사과정중심솔、서장압、악심적영향차이유통계의의분별위[SMD =-1.09,95%CI(-1.70~-0.48), P=0.0004]、[SMD=-0.50,95%CI(-0.87~-0.12), P=0.01]、[RR=0.28,95%CI(0.13~0.61), P=0.001]；대우수축압적영향교위명현,표현위검사전、중、후차이균유통계학의의,분별위[SMD =-0.08,95%CI(-0.14~-0.01), P=0.02]；[SMD =-1.24,95%CI(-2.34~-0.15), P=0.03]；[SMD =-0.64,95%CI(-1.09~-0.20), P=0.005].결론본연구발현접수위경검사혹치료중접수심리호리적환자적심솔파동、악심불괄발생솔저우대조조,이위경검사대혈압영향정도재대조조표현돌출,유효적위경검사전적심리호리모식적림상응용가이추엄.
Objective Randomized controlled trials through the impact of all published psychological care of patients with gastroscopy evaluation system, thus further analysis of the psychological model of care in the clinical application value. Methods The Cochrane center about research methods, all included in the literature evaluation RevMan5.1.2 software quality evaluation and Meta-analysis. Results In this study, included in a total of 13 documents. Studies have shown that the psychological care before gastroscopy after the patient's heart rate, cough, diastolic blood pressure difference was not statistically significant P> 0.05; For the inspection process in heart rate, diastolic blood pressure, nausea difference of statistical significance [SMD = -1.09, 95% CI (-1.70 ~ -0.48), P = 0.0004], [SMD = -0.50, 95% CI (-0.87 ~ -0.12), P= 0.01], [RR = 0.28, 95% CI (0.13 ~ 0.61), P = 0.001]; systolic blood pressure is more obvious manifestations to check in, after the differences were statistically significant, respectively [SMD = -0.08, 95% CI (-0.14 to - 0.01), P = 0.02]; [SMD= -1.24, 95% CI (-2.34 ~ -0.15), P = 0.03]; [SMD = -0.64, 95% CI (-1.09 ~ -0.20), P = 0.005 ]. Conclusion This study found that to accept gastroscopy or treatment receiving psychological care of patients with heart rate fluctuations, nausea and discomfort incidence lower than that of the control group, the gastroscopy outstanding impact on blood pressure in the control group, effective psychological care before gastroscopy the clinical application of the model can be extended.