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护理干预在非麻醉下纤维喉镜检查中的应用
引用本文:赖翠瑛,冯锡坚,周燕飞,叶瑞连.护理干预在非麻醉下纤维喉镜检查中的应用[J].中华现代护理杂志,2011,17(23):2770-2772.
作者姓名:赖翠瑛  冯锡坚  周燕飞  叶瑞连
作者单位:广东省东莞市厚街医院五官科,523945
基金项目:2009年东莞市科技局立项项目
摘    要:目的探讨在非麻醉下纤维喉镜检查中护理干预的应用效果。方法选取1000例纤维喉镜检查患者,随机分成实验组和对照组各500例,对照组执行常规操作程序,实验组检查前不进行鼻咽喉部麻醉,把心理暗示、音乐护理、触摸应用于纤维喉镜检查的整体护理中,观察护理干预在非麻醉下纤维喉镜检查中的作用效果。结果实验组在纤维喉镜检查过程中,舒张压和心率的改变明显轻于对照组,差异有统计学意义(t=-2.164,-2.282,P〈0.05),紧张恐惧感和恶心呕吐程度也显著轻于对照组,差异有统计学意义(x2=9.06,24.9,P〈0.01),实验组检查失败病例数明显少于对照组。结论护理干预能帮助纤维喉镜检查患者全面提高适应能力,在非麻醉下顺利完成检查,避免了麻醉后躯体产生的各种不适反应,在提供人性化的服务,建立和谐护患关系,提高患者满意度方面具有重要意义。

关 键 词:纤维喉镜检查  应激反应  护理干预

Application of nursing intervention in non-anesthesia textile fiber laryngoscope inspection
LAI Cui-ying,FENG Xi-jian,ZHOU Yan-fei,YE Rui-lian.Application of nursing intervention in non-anesthesia textile fiber laryngoscope inspection[J].Chinese Journal of Modern Nursing,2011,17(23):2770-2772.
Authors:LAI Cui-ying  FENG Xi-jian  ZHOU Yan-fei  YE Rui-lian
Institution:. ENT, Houjie Hospital of Dongguan City, Dongguan 523945, China
Abstract:Objective To explore the application effect of nursing intervention under non-anesthesia textile fiber laryngoscope inspection. Methods Selects 1000 textile fiber laryngoscope inspection patients,divides into the experimental group and control group each 500 individuals randomly, the control group carries out the convention operation sequence, and the experimental group does not carry on the nasopharyngeal throat anesthesia before inspection. The psychological suggestion, music nursing, touching applies in textile fiber laryngoscope inspection were implemented under non-anesthesia in textile fiber laryngoscope inspection and observe its function effect. Results Experimental group in textile fiber laryngoscope inspection process,diastolic pressure and heart rate change obvious lightly in control group, the difference has statistics significance (t =-2.164,-2.282,P <0.05), tense sense of fear and disgusting vomitive degree also remarkable lightly in control group, the difference has statistics s.ignificance (x2 =9.06,24.9 ,P <0.01),the inspection defeat case number obviously is also short in the control group. Conclusions The nursing intervention can help the textile fiber laryngoscope to inspect the patient to sharpen the adaptive comprehensively, complete the inspection smoothly under the non-anesthesia, after having avoided the anesthesia, the body produces each kind of ill response, is providing the user-friendly service, establishes protects the trouble relations harmoniously,enhances the patient degree of satisfaction aspect to have the important meaning.
Keywords:Textile fiber laryngoscope inspection  Stress response  Nursing intervention
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