消化内镜检查患者心理应激反应与综合护理管理干预方案研究

　　【摘要】 目的：研究消化内镜检查患者心理应激反应与综合护理管理干预方案。方法：选择2015年6月-2016年6月医院接收的消化内镜检查患者136例，随机分为对照组和观察组，每组68例。两组患者均行常规消化内镜检查，对照组患者采用常规基础护理方法，观察组患者在常规护理基础上，针对患者心理应激反应，采取综合护理管理方法。对比两组患者护理前后的焦虑和抑郁情况，以及检查依从性和检查积极性。结果：护理前，两组患者SAS、SDS评分比较，差异无统计学意义（P>0.05）；护理后，观察组患者SAS评分（35.45±2.13）分，SDS评分（37.18±2.06）分，均低于对照组，差异均有统计学意义（t=3.64、4.11，P<0.05）。护理后，观察组患者依从率97.06%，积极率94.12%，均高于对照组，差异均有统计学意义（字2=22.37、14.97，P<0.05）。結论：在消化内镜检查中，针对患者产生的心理应激反应采用综合护理管理干预方案进行护理，能够有效确保检查的顺利进行。
　　【关键词】 消化内镜检查； 心理应激反应； 综合护理管理干预方案
　　doi：10.14033/j.cnki.cfmr.2018.5.051 文献标识码 B 文章编号 1674-6805（2018）05-0100-02
　　【Abstract】 Objective：To study the psychological stress response and integrated nursing management intervention scheme of patients with digestive endoscopy.Method：A total of 136 patients with digestive endoscopy were selected from June 2015 to June 2016.The patients were randomly divided into the control group and the observation group，68 patients in each group.Two groups of patients were received normal digestive endoscopy，and the control group was treated by nursing methods on a regular basis，the observation group adopted comprehensive nursing management methods towards psychological stress reaction on the basis of conventional nursing..Compared the anxiety and depression before and after care，check compliance and check positivity of two groups of patients.Result：Before nursing，there were no significant differences of the SAS and SDS scores between the two groups（P>0.05）.After nursing，the SAS score of the observation group was （35.45±2.13）points，and the SDS score was （37.18±2.06）points，which were lower than those of the control group，the differences were statistically significant（t=3.64，4.11，P<0.05）.After nursing，the compliance rate of the observation group was 97.06% and the positive rate was 94.12%，which were higher than those of the control group，the differences were statistically significant（字2=22.37，14.97，P<0.05）.Conclusion：In the process of endoscopic endoscopy，the nursing management intervention scheme on psychological stress of patients is used to ensure the smooth progress of the examination.
　　【Key words】 Digestion endoscopy； Psychological stress response； Integrated nursing management intervention programme
　　First-author’s address：Union Hospital of Fujian Medical University，Fuzhou 350001，China
　　消化内镜检查是目前临床上一种十分常用的诊断检查技术，主要用于诊断和治疗消化道疾病。由于消化内镜检查是一种侵入性操作，难免会对患者造成不良影响，导致患者产生紧张、焦虑、恐惧等不良的心理情绪，进而对检查的正常进行造成影响[1]。对此，针对患者在消化内镜检查过程中产生的心理应激反应，应当采取有效的综合护理管理干预方案进行护理，缓解和消除患者的不良情绪，提高患者检查依从性和积极性，确保检查的顺利进行，得到更为准确的检查结果[2]。基于此，本文选择2015年6月-2016年6月医院接收的消化内镜检查患者136例，研究了消化内镜检查患者心理应激反应与综合护理管理干预方案，现报道如下。

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