无痛胃镜检查术后复苏护理对高龄人群安全及睡眠的影响

目的:分析高龄人群无痛胃镜检查术后复苏的护理,总结护理要点。方法:选取2018年4月至2018年5月内蒙古包头市第四医院消化内科胃镜室接受无痛胃镜检查的高龄患者500例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组250例。所有患者实施无痛胃镜检查,对照组给予常规护理,监测患者术后生命体征,直至患者清醒后转入病房或离院。观察组给予术后复苏护理。比较2组患者的术后生命体征、不良反应发生情况以及护理满意度。结果:观察组患者的各项生命体征相较于对照组更趋向于正常,2组比较差异有统计学意义(P <0. 05)。观察组的不良反应发生率为11. 20%,对照组的不良反应发生率为16. 40%,2组比较差异有统计学意义(P <0. 05)。检查前2组患者的PSQI总分无差别,检查后观察组的PSQI总分显著低于对照组,2组比较差异有统计学意义(P <0. 05)。观察组的护理满意度为98. 40%,对照组的护理满意度为88. 80%,2组比较差异有统计学意义(P <0. 05)。结论:高龄人群无痛胃镜检查术后复苏做好风险防范,实施严格的复苏护理,可提高无痛胃镜检查的安全性,促进护患关系的和谐。

Effect of Resuscitation Nursing After Painless Gastroscopy on Safety and Sleep of Elderly People

Objective: To analyze the nursing care of painless gastroscopy postoperative resuscitation in elderly people and summarize the key points of nursing care. Methods: A total of 500 elderly patients who underwent painless gastroscopy in the gastroscopy room of Fourth Hospital of Baotou City from April 2018 to May 2018 were selected as the subjects of this study.Patients were divided into observation group and control group with 250 patients in each group according to the random number table.Painless gastroscopy was performed on the patients,routine nursing was given to the control group,and postoperative vital signs were monitored until the patients were transferred to or out of the hospital after waking up.The observation group was given postoperative resuscitation care.The postoperative vital signs,adverse reactions and nursing satisfaction were compared between the two groups. Results: The vital signs of patients in the observation group were more normal than those in the control group,and there were statistically significant differences between the two groups( P <0.05).The incidence of adverse reactions was 11.20% in the observation group and 16.40% in the control group,and the difference between the two groups was statistically significant( P <0.05).There was no difference in the total PSQI score between the two groups before examination,while the total PSQI score in the observation group was significantly lower than that in the control group after examination,and the difference between the two groups was statistically significant( P <0.05).Nursing satisfaction was 98.40% in the observation group and 88.80% in the control group,and the difference between the two groups was statistically significant( P <0.05). Conclusion: Risk prevention and strict nursing care can improve the safety of painless gastroscopy and promote the harmonious development of nurse-patient relationship.