马春燕

【摘 要】目的：研讨细节护理对上消化道出血胃镜治疗患者负性情绪的影响。方法：选择2020年7月至2021年7月我院收治的50例行上消化道出血胃镜治疗患者入组进行研究，将其随机分为两组，实验组和参照组，每组25例患者。两组患者都应用胃镜进行诊治，在这个前提下参照组实施传统护理方法，实验组患者实施细节护理，对比两组患者护理之前和护理之后的负性情绪评分。结果：护理之前，两组患者的SDS、SAS评分对比，组间差异不明显（P>0.05）；护理之后，与参照组对比，实验组SDS、SAS评分相对较低（P<0.05）。结论：针对消化道出血胃镜患者的治疗采取细节护理方法，可以很好地缓解患者的负性情绪，获得更好的护理成效，值得临床大力推广运用。

【关键词】上消化道出血；胃镜治疗；负性情绪；细节护理

Analysis of the effect of detailed care on the negative emotions of upper gastrointestinal bleeding gastroscopy treatment patients

Ma Chunyan

Jiuquan People’s Hospital， Gansu Jiuquan 735000，China

【Abstract】Objective： To discuss the influence of detail care on the negative mood of upper gastrointestinal bleeding gastroscopy treatment patients.Methods： 50 patients with upper gastrointestinal bleeding treated by gastroscopy in our hospital from July 2020 to July 2021 were selected forthe study and were randomly divided into two groups， experimental group and reference group， with 25 patients in each group.Both groups of patients underwent gastroscopy for diagnosis and treatment，under this premise， the traditional nursing methods are implemented in the reference group， and the patients in the experimental group performed detailed nursing， so as to compare the negative emotional scores before and after nursing of the two groups.Results： Before nursing， there was no significant difference in SDS and SAS scores between the two groups（P>0.05）；After nursing， compared with the reference group， the scores of SDS and SAS in the experimental group were relatively lower（P<0.05）.Conclusion： Detailed nursing methods for the treatment of patients with gastrointestinal bleeding gastroscopy can well relieve the negative emotions of patients and obtain better nursing results， which is worth promoting clinical application.

【Key？Words】Upper gastrointestinal bleeding； Gastroscopy treatment； Negative emotions； Detail care

1.1 一般资料

选择2020年7月至2021年7月我院收治的50例行上消化道出血胃镜治疗患者入组进行研究，将其随机分为两组，实验组和参照组，每组25例患者。选入标准：（1）经过临床诊断，均确诊是上消化道出血；（2）不存在手术禁忌；（3）表现出大便发黑、心悸、呕血、头晕等临床症状；（4）全部对象对此次研究知情同意并签订知情同意书。剔除标准：（1）患有严重的心脑血管疾病者；（2）肝肾功能不全者；（3）没有详细的临床资料者；（4）患有精神疾病的患者。实验组，男13例，女12例，年龄32岁～75岁，平均年龄（52.28±5.32）岁；参照组，男14例，女11例，年龄33岁～76岁，平均年龄（53.15±5.44）岁。两组对象的基本资料差异不明显，（P>0.05），予以对比。此次研究经过我院伦理委员会批准。

1.2 方法