基于人文关怀的优质护理在消化内镜诊疗患者中的应用效果研究
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摘要
目的探讨基于人文关怀的优质护理干预对行消化内镜检查患者的应用效果。方法选取2017年2月—2018年8月在台州市立医院消化内镜室实施诊疗的患者200例,根据随机数字表法分为观察组和对照组各100例。对照组患者应用常规护理,观察组在对照组的基础上应用基于人文关怀的优质护理干预。对比2组患者护理效果,包括护理前后心理状态评分、患者不良反应发生率、护理满意度及护理不良事件发生率。结果入院时,2组患者心理状态评分(SAS、SDS评分)比较差异无统计学意义(均P>0.05);麻醉前10 min,观察组患者心理状态评分明显低于对照组(P<0.05);观察组患者不良反应发生率为4.0%,低于对照组的13.0%(P<0.05);观察组患者护理不良事件发生率为3.0%,远低于对照组的10.0%(P<0.05);观察组护理满意度为96.0%,高于对照组的84.0%(P<0.05)。结论消化内镜诊疗患者应用基于人文关怀的优质护理,可以有效提高护理质量,减少患者的不良反应,降低护理不良事件的发生率,有利于缓解患者紧张、焦虑等不良情绪,有效地提高了护理满意度,值得临床应用。
Objective To explore the application effect of high quality nursing intervention based on humanistic care for patients with digestive endoscopy. Methods A total of 200 patients who underwent diagnosis and treatment in the digestive endoscopy room of our hospital from February 2017 to August 2018 were enrolled. According to the random number table method, the patients were divided into observation group and control group, with 100 cases in each group. The patients in the control group were treated with routine care, and the observation group was based on the quality control intervention based on human care. The nursing efficiency of the two groups of patients included: psychological state score before and after nursing, incidence of adverse reactions, incidence of adverse care events and satisfaction of nursing. Results At admission, the psychological status scores(SAS, SDS scores) of the two groups were not statistically significant(P>0.05); 10 minutes before anesthesia, the psychological status scores of the observation group were significantly lower than the control group(P<0.05); The incidence of reaction was 4.0%, which was lower than that of the control group(13.0%, P<0.05). The incidence of nursing adverse events in the observation group was 3.0%, which was much lower than that of the control group(P<0.05). The nursing satisfaction of the observation group was 96.0%, higher than 84.0% of the control group(P<0.05). Conclusion The application of high-quality nursing based on humanistic care in patients with digestive endoscopy can effectively improve the quality of nursing, reduce the incidence of adverse reactions and nursing adverse events, alleviate patients' nervous and anxiety, and effectively improve nursing satisfaction, which is worthy of clinical application.
Objective To explore the application effect of high quality nursing intervention based on humanistic care for patients with digestive endoscopy. Methods A total of 200 patients who underwent diagnosis and treatment in the digestive endoscopy room of our hospital from February 2017 to August 2018 were enrolled. According to the random number table method, the patients were divided into observation group and control group, with 100 cases in each group. The patients in the control group were treated with routine care, and the observation group was based on the quality control intervention based on human care. The nursing efficiency of the two groups of patients included: psychological state score before and after nursing, incidence of adverse reactions, incidence of adverse care events and satisfaction of nursing. Results At admission, the psychological status scores(SAS, SDS scores) of the two groups were not statistically significant(P>0.05); 10 minutes before anesthesia, the psychological status scores of the observation group were significantly lower than the control group(P<0.05); The incidence of reaction was 4.0%, which was lower than that of the control group(13.0%, P<0.05). The incidence of nursing adverse events in the observation group was 3.0%, which was much lower than that of the control group(P<0.05). The nursing satisfaction of the observation group was 96.0%, higher than 84.0% of the control group(P<0.05). Conclusion The application of high-quality nursing based on humanistic care in patients with digestive endoscopy can effectively improve the quality of nursing, reduce the incidence of adverse reactions and nursing adverse events, alleviate patients' nervous and anxiety, and effectively improve nursing satisfaction, which is worthy of clinical application.
引文
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[10] 马卫平,来宇旭,李悦,等.标准化护理在消化内镜室护理质量管理中的应用价值[J].临床医学研究与实践,2018,5(13):148-149.
[11] 骆丽荣,李韦韦,王聪慧.优质护理服务在消化内镜中的应用效果观察[J].转化医学电子杂志,2016,3(6):76-77.
[12] 孙宏.消化内镜中心实施优质护理的观察[J].中国医药指南,2017,15(19):233-234.
[13] 彭惠容,刘芬.优质护理服务及健康教育在消化内镜中心的应用效果探讨[J].齐齐哈尔医学院学报,2015,36(7):1057-1058.
[14] 杨莉芳,郑斯杰,张林英.优质护理在无痛消化内镜检查中的应用[J].交通医学,2016,30(4):396-398.
[15] 王秀华,高红富,杨晓彤,等.优质护理服务对消化内镜诊疗患者满意度的影响[J].齐鲁护理杂志,2017,23(14):64-65.
[2] JOVER R,DEKKER E,SCHOEN R E,et al.Colonoscopy quality requisites for selecting surveillance intervals:a world endoscopy organization delphi recommendation[J].Dig Endosc,2018,30(6):750-759.
[3] DUTTA A K,REBEKAH G,CHOWDHURY S D,et al.A simple pre-endoscopy score for predicting risk of malignancy in patients with dyspepsia:a 5-year prospective study[J].Dig Dis Sci,2018,63(12):3442-3447.
[4] 熊芬.基于人文关怀的优质护理在慢性鼻窦炎鼻内镜术后护理中的应用效果[J].实用临床医药杂志,2018,22(14):127-129,134.
[5] 田磊.探讨人文关怀应用于耳鼻喉内镜检查中的护理效果[J].世界最新医学信息文摘,2015,15(36):249.
[6] 张理花,陈娅薇.以人文关怀为主的优质护理干预在老年重症肺炎患者的应用评价[J].护士进修杂志,2018,33(5):419-422.
[7] STEINKE S,ZEIDLER C,RIEPE C,et al.Humanistic burden of chronic pruritus in patients with inflammatory dermatoses:results of the European academy of dermatology and venereology network on assessment of severity and burden of pruritus (pruNet) cross-sectional trial[J].J Am Acad Dermatol,2018,79(3):457-463.
[8] BAE J K,VAVILIN A,YOU J S,et al.Smartphone-based endoscope system for advanced point-of-care diagnostics:feasibility study[J].JMIR Mhealth Uhealth,2017,5(7):99.
[9] 郭凤英.追踪管理法对消化内镜护理质量与不良反应发生的影响研究[J].现代医学,2016,44(1):125-128.
[10] 马卫平,来宇旭,李悦,等.标准化护理在消化内镜室护理质量管理中的应用价值[J].临床医学研究与实践,2018,5(13):148-149.
[11] 骆丽荣,李韦韦,王聪慧.优质护理服务在消化内镜中的应用效果观察[J].转化医学电子杂志,2016,3(6):76-77.
[12] 孙宏.消化内镜中心实施优质护理的观察[J].中国医药指南,2017,15(19):233-234.
[13] 彭惠容,刘芬.优质护理服务及健康教育在消化内镜中心的应用效果探讨[J].齐齐哈尔医学院学报,2015,36(7):1057-1058.
[14] 杨莉芳,郑斯杰,张林英.优质护理在无痛消化内镜检查中的应用[J].交通医学,2016,30(4):396-398.
[15] 王秀华,高红富,杨晓彤,等.优质护理服务对消化内镜诊疗患者满意度的影响[J].齐鲁护理杂志,2017,23(14):64-65.