摘要
目的探讨护理干预对内镜下十二指肠乳头括约肌切开(EST)取石术患者术中恐惧、疼痛的影响。方法将92例需行EST取石术患者随机分为两组各46例,对照组采用常规护理,观察组在此基础上行认知、心理、行为护理干预。比较两组患者恐惧程度、疼痛程度及取石成功率、并发症发生情况。结果观察组术中恐惧、疼痛程度显著低于对照组(均P<0.01),取石成功率优于对照组(P<0.01),并发症发生率低。结论对EST患者实施护理干预,能降低患者的恐惧程度,减轻手术带来的疼痛,提高取石成功率,减少并发症发生。
Objective To explore the effect of nursing intervention on EST. Methods Ninety two patients receiving EST were divided into two groups at random, with each group having 46 patients. The patients in the control group were given the routine nursing care for EST, and the patients of the experimental group were given nursing intervention in cognition, psychology and behavior. The fear, pain, success of operation and complications were compared between the two groups. Results The fear and pain felt by the patients in the experimental group were significantly lower than those in the controls （P〈0.01 for both） and the success rate of the operation was higher in the experimental group （P〈0.01） as compared with the controls. The complications were low in the experimental group. Conclusion The nursing intervention can reduce the fear of patients, alleviate pain of the operation and enhance the success of the operation and decrease complications.
