|
|
|
| Impact of Proactive Risk Prevention Nursing Procedure on Psychological Stress and Risk Events in Patients Undergoing Digestive Endoscopy |
| LIU Dandan, YANG Ruizheng, LI Hui |
| The First Affiliated Hospital of Henan University, Kaifeng Henan 475000 |
|
|
|
|
Abstract 【Objective】 To explore the impact of proactive risk prevention nursing procedure on psychological stress and risk events in patients undergoing digestive endoscopy. 【Methods】 A total of 98 patients who underwent digestive endoscopy in our hospital from September 2022 to August 2024 were selected and divided into an observation group and a control group using the random number table method, with 49 cases in each group. The control group was given routine nursing intervention, while the observation group was given proactive risk prevention nursing procedure intervention. The heart rate(HR), blood pressure fluctuations and psychological status of the two groups before and after the examination were compared, and the incidence of risk events in the two groups was counted. 【Results】 Before the examination, there were no statistically significant differences in HR and mean arterial pressure(MAP) between the two groups(P>0.05). At 30 minutes during the examination and after the examination, the HR and MAP of both groups were higher than those before the examination, while those of the observation group were lower than those of the control group(P<0.05). After the examination, the HR and MAP of both groups were higher than those at 30 minutes during the examination, while those of the observation group were lower than those of the control group(P<0.05). After the examination, the scores of hostility, phobia, anxiety and depression of both groups were lower than those before the examination, and the scores of the observation group were significantly lower than those of the control group, with statistically significant differences(P<0.05). The incidence of risk events in the observation group was 4.08%(2/49), which was significantly lower than 18.37%(9/49) in the control group, with a statistically significant difference(P<0.05). 【Conclusion】 Proactive risk prevention nursing procedure helps stabilize the HR and blood pressure of patients undergoing digestive endoscopy, alleviate their psychological stress responses, and reduce the incidence of risk events.
|
|
Received: 29 April 2025
|
|
|
|
|
|
[1] 李美姿,张晟瑜,纪若愚,等. 京津冀地区消化内镜医联体平台2016—2020年消化内镜检查情况分析[J].中华消化内镜杂志,2022,39(11):889-894.
[2] 杜奕奇,李兆申. 我国消化道早癌筛查的挑战和展望[J].第二军医大学学报,2020,41(1):1-5.
[3] 叶静,方晓文,丁丽,等. 消化内镜检查患者主动防范风险护理程序的效果[J].国际护理学杂志,2023,42(13):2420-2423.
[4] 刘迎,关志华,李琨琨,等.主动防范风险护理程序在消化内镜检查患者中的应用效果[J].中华现代护理杂志,2022,28(28):3976-3978.
[5] 师丽娟,秦楠,司瑞品,等. 主动防范风险护理对小儿支气管肺炎肺功能、护理质量及并发症的影响[J].国际护理学杂志,2024,43(7):1247-1251.
[6] 陈树林,李凌江. SCL-90信度效度检验和常模的再比较[J].中国神经精神疾病杂志,2003,29(5):323-327.
[7] 杨智慧,陈雅菊. PDCA循环管理模式在消化内镜护理风险控制中的应用效果研究[J].医学食疗与健康,2022,20(23):136-139.
[8] 李鑫.消化内镜检查中应用放松疗法联合音乐护理对患者应激反应及情绪的影响[J].医疗装备,2021,34(13):160-162.
[9] 徐惠萍. 消化内镜检查患者心理应激现状及影响因素分析[J].中国医学创新,2022,19(13):104-108.
[10] 吴正艳,陈敏,方梦婷. 主动防范风险护理程序在行消化内镜检查患者中的应用[J].中西医结合护理(中英文),2023,9(5):139-141.
[11] 惠丽,代梦男,朱颖炜,等. 结直肠病变行内镜黏膜下剥离术患者心理应激水平影响因素及护理策略[J].国际护理学杂志,2024,43(4):741-745.
[12] 辛光怡. 高龄患者在无痛胃镜检查中的护理风险及防范[J].当代护士(下旬刊),2013,20(4):116-117.
[13] 万小雪,黄茜,袁建辉,马久红.风险管理应用于无痛消化内镜微创治疗的效果评价[J].江西医药,2018,53(5):499-500.
[14] 杨秀婷,李晓微,李长峰.急诊消化内镜诊疗过程中的护理风险管理[J].长春中医药大学学报,2020,36(6):1300-1302. |
|
|
|
2026, Vol. 43 
