体位护理联合心理干预对行无痛胃镜检查患者的生理和心理状态的影响观察

Effect of body position nursing combined with psychological intervention on physiological and psychological status of patients undergoing painless gastroscopy.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(3)
作者
作者单位

四川省遂宁市中心医院 ;

摘要
摘要 目的:探讨和分析体位护理联合心理干预对行无痛胃镜检查患者的生理和心理状态的影响。方法:选取2014年1月至2015年1月在我院接受无痛胃镜检查的80例患者作为本次研究的主体对象,使用excel表格的RANDOM求出随机值后按升序排列分组,前40例为常规护理组(以下称对照组),后40例为体位护理联合心理干预组(以下称干预组)。分别对两组患者干预前后的汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)、生理不适程度以及检查情况进行评估和对比。结果:干预前,两组患者的HAMD和HAMA评分明显低于干预后,且干预组更低于对照组(P<0.05);干预组和对照组相比,前者的患者恶心、呕吐、腹胀、腹痛等生理不适程度亦明显轻于后者(P<0.05),同时,干预组的检查情况亦优于对照组(P<0.05)。结论:体位护理联合心理干预在一定程度上可以患者改善患者的不良心理状态,以及减少检查中出现的不良反应,减少麻醉后倾倒的风险,为整个无痛胃镜检查工作的顺利开展起到了促进作用,因而值得临床中推广应用。
Abstract
Abstract Objective: To investigate and analyze the position joint psychological nursing intervention on line of physiological and psychological state in patients with painless gastroscopy. Methods: Between January 2014 and January 2014 in our hospital to accept painless gastroscopy as the main object of the present study 80 patients using excel spreadsheet to calculate according to ascending order after RANDOM values of the RANDOM grouping, 40 cases of routine nursing group (hereinafter referred to as the control group), 40 cases of body position nursing care after joint psychological intervention group (hereinafter referred to as intervention group). Respectively on two groups of patients before and after the intervention of the Hamilton depression scale (HAMD) and Hamilton anxiety scale (HAMA), physical discomfort, and check the situation assessment and comparison. Results: Compared with before intervention, intervention patients after HAMA and HAMD scores significantly lower, compared with a control group of patients, the HAMA and HAMD scores of intervention group patients significantly lower (P < 0.05); Intervention group and control group, compared to the former patients with nausea, vomiting, abdominal distension, abdominal pain and physical discomfort is significantly lighter than the latter (P < 0.05), at the same time, the inspection status of the intervention group is better than that of control group (P < 0.05). Conclusion: Body position nursing patients with combined psychological intervention in a certain extent, can improve the patients adverse psychological state, and reduce the adverse reaction in check, reduce the risk of anesthesia after dumping, for the whole of the smooth work of painless gastroscopy has played a promoting role, thus is worth popularizing in clinical application.
关键词
关键词:体位护理;心理干预;无痛胃镜;
KeyWord
Key words: Body position nursing care; Psychological intervention;
基金项目
页码 567-569
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丁晓梅*,李茂芝,米雪,姚瑶. 体位护理联合心理干预对行无痛胃镜检查患者的生理和心理状态的影响观察 [J]. 国际精神病学杂志. 2017; 44; (3). 567 - 569.

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