刘乃真 　谢文吉

【摘要】 目的：分析健康教育聯合心理护理在无痛胃镜中的护理干预效果。方法：选取2017年11月-2018年11月在笔者所在医院接受无痛胃镜检查的患者128例，将患者随机分为对照组及观察组，每组64例。对照组行常规护理，观察组在对照组的基础上行健康教育联合心理护理，比较两组护理满意度、血压、心率、焦虑与抑郁评分。结果：观察组护理满意率为95.31%，高于对照组的81.25%，差异有统计学意义（P<0.05）。检查前两组血压、心率比较差异无统计学意义（P>0.05），检查后观察组各项指标均优于对照组，差异均有统计学意义（P<0.05）。护理前两组焦虑、抑郁评分比较差异无统计学意义（P>0.05），护理后观察组焦虑、抑郁评分均低于对照组，差异均有统计学意义（P<0.05）。结论：对接受无痛胃镜检查的患者实施健康教育联合心理护理，可以改善患者的心态，维持血压和心率的稳定。

【关键词】 无痛胃镜 健康教育 心理护理

doi：10.14033/j.cnki.cfmr.2019.28.034 文献标识码 B 文章编号 1674-6805（2019）28-00-03

Nursing Intervention Effect of Health Education Combined Psychological Nursing in Painless Gastroscope/LIU Naizhen， XIE Wenji. //Chinese and Foreign Medical Research， 2019， 17 （28）： -85

[Abstract] Objective： To analyze the effect of nursing intervention in health education combined with psychological nursing in painless gastroscopy. Method： A total of 128 patients who underwent painless gastroscopy in our hospital from November 2017 to November 2018 were enrolled，and were randomly divided into the control group （64 patients） and the observation group （64 patients）. The control group was given routine nursing， while the observation group was given health education combined with psychological nursing on the basis of the control group. The nursing satisfaction， blood pressure， heart rate， anxiety and depression scores of the two groups were observed and compared. Result： The nursing satisfaction rate of the observation group was 95.31%， which was higher than that of the control group （81.25%）， the difference was statistically significant （P<0.05）. There was no significant difference in blood pressure and heart rate between the two groups before inspection （P>0.05）. After inspection， the indexes of the observation group were better than those of the control group， the differences were statistically significant （P<0.05）. There was no significant difference in anxiety and depression scores between the two groups before nursing （P>0.05）. After nursing， the scores of anxiety and depression in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： Health education combined with psychological care for patients undergoing painless gastroscopy can improve the patients mentality and maintain blood pressure and heart rate stability.

[Key words] Painless gastroscopy Health education Psychological nursing

First-authors address： Quanzhou First Hospital Affiliated to Fujian Medical University， Quanzhou 362000， China

无痛胃镜是临床上常用于检查上消化道疾病的方法，对患者疾病的诊断和治疗具有重要的意义[1]。在实施无痛胃镜检查前，需要对患者实施麻醉处理，使患者进入浅睡眠状态，以减少其在检查过程中的应激反应，促进无痛胃镜检查的顺利进行[2]。在患者接受无痛胃镜检查后，需要一定的时间进行苏醒，但是患者容易出现血压升高、心率加快的不良反应，对患者的身体和心理均有着极大的负面影响，因此需要对患者实施合理的护理干预，以降低患者在检查后的不良反应发生率[3-4]。本文主要研究2017年11月-2018年11月于笔者所在医院接受无痛胃镜检查的128例患者，分别对其进行常规护理与健康教育联合心理护理，并对护理干预效果展开分析，现报道如下。

1 资料与方法

1.1 一般资料