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无缝隙对接护理提升急诊消化内镜护理效果的观察
引用本文:张庆,姚爱群,刘银阁,郑海伦.无缝隙对接护理提升急诊消化内镜护理效果的观察[J].中华全科医学,2019,17(8):1421-1423.
作者姓名:张庆  姚爱群  刘银阁  郑海伦
作者单位:蚌埠医学院第一附属医院消化科, 安徽 蚌埠 233004
基金项目:安徽省自然科学基金项目(1808085MH240)
摘    要:目的探讨无缝隙对接护理在急诊消化内镜护理中的应用效果和特点,以期为无缝隙对接护理在急诊消化内镜诊治中的应用提供更好的依据和基础。方法选取蚌埠医学院第一附属医院2015年12月-2016年12月收治的行急诊消化内镜治疗的78例患者为研究对象,根据随机数字法分为观察组与对照组,其中对照组39例患者实施常规护理,观察组39例患者则在对照组基础上实施无缝隙对接护理,观察比较2组患者护理后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分情况、护理满意度和不良反应发生率。结果观察组患者护理前SAS、SDS评分分别为(48.3±5.1)分、(48.9±6.2)分,护理后分别为(24.1±4.9)分、(25.8±3.1)分,护理后SAS和SDS量表评分均有所下降;对照组患者护理前SAS、SDS评分分别为(49.6±4.7)分、(48.5±6.7)分,护理后分别为(37.8±5.0)分、(35.3±6.2)分,护理后SAS和SDS量表评分也均有所下降。观察组患者护理后评分显著低于对照组(均P<0.05)。观察组患者护理满意度为97.44%,显著高于对照组的82.05%;不良反应发生率低于对照组(5.13%vs. 12.82%),组间比较差异无统计学意义(P=0.235)。结论对急诊消化内镜治疗的患者实施无缝隙对接护理效果显著,可明显缓解患者不良情绪,提高临床护理满意度,缩短治疗时间。

关 键 词:无缝隙对接护理  消化内镜  护理效果
收稿时间:2018-04-25

Evaluation of seamless butt nursing in improving the nursing effect of emergency digestive endoscopy
Institution:Department of Gastroenterology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China
Abstract:Objective To investigate the application effects and the characters of seamless butt nursing in acute digestive endoscopy nursing, with a view to provide better basis and foundation for the application of seamless butt nursing in emergency digestive endoscopy diagnosis and treatment. Methods Seventy-eight cases underwent acute digestive endoscopy in our hospital were selected as the research object, and according to the random number table method divided into observation group and control group. For the control group, 39 patients was given routine nursing, and for the observation group, 39 patients was implemented additionally seamless docking nursing. The two groups were observed and compared after treatment of anxiety self-rating scale (SAS) and self-rating depression scale (SDS) score, the incidence rate of adverse reaction and nursing satisfaction. Results The SAS and SDS scores were 48.3±5.1 and 48.9±6.2 before nursing in the patients of the observation group, and the SAS and SDS scores were 24.1±4.9 and 25.8±3.1 after nursing. The SAS and SDS score of the patients in the observation group after nursing were decreased. The SAS and SDS score were 49.6±4.7 and 48.5±6.7 before nursing in the patients of the control group, and the SAS and SDS score were 37.8±5.0 and 35.3±6.2 after nursing. The SAS and SDS score scales of the patients in the control group after nursing were decreased. The two scores in the patients in the observation group after nursing were significantly lower than those in the control group, and the above data within and between groups were significantly higher (all P<0.05). The degree of nursing satisfaction in the observation group (97.44%) was significantly higher than that of the control group (82.05%). The incidence of adverse reactions was significantly lower than that in the control group (5.13% vs. 12.82%), but the difference between the two groups were no significant difference (P=0.235). Conclusion Implementation of seamless docking nursing effect in the acute treatment of gastrointestinal endoscopy in patients can significantly alleviate the negative emotions of patients, improve the clinical nursing satisfaction, shorten treatment time. 
Keywords:Seamless butt nursing  Digestive endoscopy  Nursing efficacy
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