干预措施在胃镜诊疗中的应用效果

High quality nursing in gastroscopy

摘要:

目的 分析应用干预措施在胃镜诊疗中的效果。方法 选择2014年3月-2014年6月进行胃镜诊疗的患者1 300例，随机分为对照组650例和干预组650例，对照组给予一般的常规指导，口服2%盐酸利多卡因后，进入检查室开始检查；干预组在对照组常规准备基础上对患者进行检查前、检查中、检查后全程干预，对两组患者的焦虑程度及患者进入食管入口配合度、一次性进镜成功率和胃镜诊疗操作时间统计比较。结果 两组患者在预约时焦虑评分差异无统计学意义（P >0.05），胃镜检查前干预组焦虑评分为（31.40±4.20）分低于对照组，差异有统计学意义（P <0.01）。患者进入食管入口配合度、一次性进镜成功率和胃镜诊疗操作时间分别为97.1%、95.1%和（4.52±1.23）min，明显优于对照组的79.4%、82.3%和（5.42±1.53）min。结论 干预措施应用在胃镜诊疗中，能减轻患者的焦虑程度，提高胃镜诊疗的成功率和减轻患者的痛苦，值得在临床推广应用。

Abstract:

Objective To analyze the effect of high quality nursing in gastroscopy examination. Method 1 300 patients underwent gastroscopy from March 2014 to June 2014 were randomly divided to control group (n = 650) and intervention group (n = 650). Patients in control group received routine nursing, and patients in intervention group received high quality nursing intervention besides the routine nursing. Patients anxiety level, open state of esophageal meatus, one-time intubation success rate, and time-consumed in gastroscopy of the two groups were compared. Result Anxiety score between the two groups at the time of reservation was not statistically significant (P > 0.05), anxiety scores of the intervention group (31.40 ± 4.20) was lower than that of control group before gastroscopy, and the difference was statistically significant (P < 0.01). Open rate of esophageal meatus, one-time intubation success rate, and time-consumed in gastroscopy of the intervention group (97.1 %, 95.1 % and 4.52 ± 1.23 min) were significantly better than those of the control group (79.4 %, 82.3 % and 5.42 ± 1.53 min). Conclusion The high quality nursing in gastroscopy can alleviate the anxiety level of patients, improve the success rate of gastroscopy, reduce the pain of patients, and it is worthy of clinical promoting.