摘要
目的无痛胃镜检查的广泛开展对临床护理服务提出了更高要求,本研究构建问候-介绍-过程-解释-感谢(AIDET)沟通模式联合体位干预的护理方案,并探讨对初检者的应用效果。方法采用随机数字表法将2021年6月—2023年6月在温州市中西医结合医院拟进行无痛胃镜检查的98例门诊患者分为对照组(49例,传统沟通模式+口服链酶蛋白酶后左侧卧)和试验组(49例,AIDET沟通模式+口服链酶蛋白酶后体位护理),比较2组干预效果。结果试验组检查日汉密顿焦虑量表(HAMA)评分低于对照组(P<0.05);检查配合的意识、体位活动的配合评分均高于对照组(P<0.05);胃底的视野清晰度为(2.45±0.46)分、胃体为(2.55±0.41)分、胃窦为(2.67±0.31)分、全胃为(2.65±0.32)分,均高于对照组的(1.96±0.34)分、(2.03±0.34)分、(1.90±0.45)分和(1.97±0.47)分(t=5.996、6.834、9.864、8.372,P<0.05);术中冲洗≥1次有6例,少于对照组的15例(χ^(2)=4.909,P<0.05);胃镜检查时间为(7.46±2.10)min,短于对照组的(12.89±2.34)min(t=11.354,P<0.05)。微小病灶检出率为93.88%(46/49),略高于对照组的85.71%(42/49),P>0.05。结论AIDET沟通联合口服链酶蛋白酶后体位护理的应用可显著改善初次无痛胃镜检查患者焦虑,提高检查配合度和胃镜检查质量和效率。
Objective The extensive development of painless gastroscopy has put forward higher requirements for clinical nursing services.This study constructed a nursing scheme of acknowledge introduce duration explanation and thank you(AIDET)communication mode combined intervention and discussed the application effect on the initial patients.Methods A total of 98 outpatients who planned to undergo painless gastroscopy in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from June 2021 to June 2023 were divided into control group(49 cases,traditional communication mode+lying on the left side after oral strepase protease)and experimental group(49 cases,AIDET communication mode+postural care after oral strepase protease)by random number table method.The intervention effect of the two groups was compared.Results The Hamilton anxiety scale(HAMA)score was lower than that of the control group(P<0.05).The coordination score of awareness and position activity of the examination was higher than that of the control group(P<0.05).The visual field resolution of the fundus of the stomach(2.45±0.46),the body of the stomach(2.55±0.41),the antrum(2.67±0.31),and the whole stomach(2.65±0.32)were higher than those of control group(1.96±0.34),(2.03±0.34),(1.90±0.45)and(1.97±0.47)score(t=5.996,6.834,9.864,8.372,P<0.05).Intraoperative irrigation≥1 time in 6 cases was less than that in the control group in 15 cases(χ^(2)=4.909,P<0.05).The time of gastroscopy(7.46±2.10 min)was shorter than that of the control group(12.89±2.34 min),t=11.354,P<0.05.The detection rate of microlesion was 93.88%(46/49),which was slightly higher than that of the control group 85.71%(42/49),P>0.05.Conclusion The application of AIDET communication combined with oral streptase protease postural care can significantly relieve the anxiety of patients undergoing initial painless gastroscopy,and improve the cooperation of the examination and the quality and efficiency of the gastroscopy.
作者
徐艳
黄晓林
庄肇朦
XU Yan;HUANG Xiaolin;ZHUANG Zhaomeng(Outpatient Operating Room,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou,Zhejiang 325000,China;不详)
出处
《中华全科医学》
2024年第5期833-835,844,共4页
Chinese Journal of General Practice
基金
浙江省温州市科研项目(Y20220623)
浙江省医药卫生计划项目(2023KY1162)
浙江省中医药科技计划项目(2024ZR030)。
作者简介
通信作者:徐艳,E-mail:18969766116@163.com。
