摘要
目的:分析心理护理干预在急诊胃镜止血中的应用方法、效果及对患者焦虑紧张情绪的影响.方法:对需要行胃镜止血的152例急诊患者随机分为观察组76例和对照组76例,观察组在治疗前及治疗过程中均给予心理护理干预,对照组采用传统的胃镜检查护理方法.比较两组出血病因检出率及止血效果,并用焦虑自评量表(SAS)进行评定.结果:观察组与对照组出血原因检出率比较无统计学差异(P>0.05);观察组止血率高于对照组(P<0.05);胃镜检查前患者的焦虑情绪发生率是87%,术前情绪障碍与职业、性格、经济状况及受教育程度有关,心理干预前后观察组自身及干预后的观察组与对照组比较,焦虑紧张情绪改善显著(P<0.01).结论:急诊胃镜诊治过程中给予患者心理护理干预,能明显改善胃镜检查患者的焦虑紧张情绪,帮助患者克服心理障碍,顺利进行检查,同时获得良好的止血效果,提高患者满意度.
AIM：To investigate the efficacy of psychological nursing in patients receiving emergency gastroscopic examination,and to determine its influence on patients＇ feelings of anxiety and stress.METHODS：A total of 152 patients receiving emergency gastroscopic examination were divided randomly into observation group（n = 76） and control group（n = 76）.The observation group received psycholological nursing before and during gastroscopy,while the control group received traditional methods of nursing care.The examination results including bleeding cause and hemostasis rates were compared between the two groups using the self-rating anxiety scale.RESULTS：The detection rate of bleeding causes was not significantly different between the observation group and control group（P 0.05）.The hemostasis rate in the observation group was significantly higher than that in the control group.The incidence of anxiety feeling before gastroscopic examination was 87%.Pre-gastroscopic examination anxiety was related to profession,personality,financial status and educational level.Anxiety and stress feelings improved significantly before and after psychological intervention in the observation group compared to the control group.CONCLUSION：Psychological nursing can significantly improve anxiety and stress feelings of patients and help them receive gastroscopy smoothly during the procedure.Meanwhile,this effort can help obtain good hemostasis effect and improve the patient＇s satisfaction.
出处
《世界华人消化杂志》
CAS
北大核心
2012年第15期1346-1349,共4页
World Chinese Journal of Digestology
关键词
心理护理干预
胃镜止血
焦虑
急诊护理
Psychological nursing
Gastroscopy
Anxiety
Emergency nursing
