AIDET沟通联合体位护理对初次无痛胃镜检查患者焦虑和胃镜检查质量的影响

徐艳; 黄晓林; 庄肇朦

doi:10.16766/j.cnki.issn.1674-4152.003514

AIDET沟通联合体位护理对初次无痛胃镜检查患者焦虑和胃镜检查质量的影响

doi: 10.16766/j.cnki.issn.1674-4152.003514

徐艳^{1, 2, ,},
黄晓林²,
庄肇朦³

1.
温州市中西医结合医院门诊手术室，浙江温州 325000
2.
温州市中西医结合医院内镜中心
3.
温州市中西医结合医院消化内科

基金项目:

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

详细信息

通讯作者:
徐艳，E-mail：18969766116@163.com

中图分类号: R573 R473.57
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- 文章访问数: 141
- HTML全文浏览量: 74
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- 被引次数: 0
出版历程
- 收稿日期: 2024-02-16
- 网络出版日期: 2024-07-20

Effect of AIDET communication complex nursing on anxiety and gastroscopy quality in patients undergoing initial painless gastroscopy

1.
Outpatient Operating Room, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang 325000, China

摘要

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(χ²=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。
- 无痛胃镜检查 /
- AIDET沟通模式 /
- 体位护理
Abstract: 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 (χ²=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.
- Painless gastroscopy /
- AIDET communication mode /
- Postural care

HTML全文

表 1 2组无痛胃镜检查患者一般资料比较(n_i=49)

Table 1. Comparison of general information between two groups of patients undergoing painless gastroscopy

资料	对照组	试验组	统计量	P值
男/女(例)	27/22	23/26	0.653^a	0.419
年龄(x±s，岁)	46.78±7.09	47.89±8.24	0.715^b	0.477
BMI(x±s，kg/m²)	22.34±2.19	22.56±3.10	0.406^b	0.686
受教育年限(x±s，年)	13.45±2.14	13.21±3.09	0.447^b	0.656
麻醉分级(ASA)			1.027^a	0.311
I级	24	29
Ⅱ级	25	20
入院时脉搏(次/min)	80.23±7.34	81.56±8.09	0.852^b	0.396
血氧饱和度(%)	98.45±1.01	98.23±1.11	1.026^b	0.307
舒张压(mmHg)	80.45±5.12	81.04±6.24	0.512^b	0.610
收缩压(mmHg)	121.45±7.89	122.63±10.32	0.636^b	0.526
注：^a为χ²值, ^b为t值。

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表 2 2组无痛胃镜检查患者HAMA评分比较(x±s，分)

Table 2. Comparison of HAMA scores in two groups of patients undergoing painless gastroscopy (x±s, points)

组别	例数	预约无痛胃镜检查当日	检查日
对照组	49	13.84±2.55	9.15±1.27^b
试验组	49	14.01±2.45	6.34±1.20^b
统计量		0.337^a	13.567^c
P值		0.737	＜0.001
注：^a为t值，^c为F值；组内比较，^bP＜0.05。

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表 3 2组无痛胃镜检查患者干预后配合度比较(x±s，分)

Table 3. Comparison of patient compliance between two groups undergoing painless gastroscopy after intervention (x±s, points)

组别	例数	检查配合的意识	体位活动的配合
对照组	49	1.01±0.27	1.03±0.37
试验组	49	1.56±0.35	1.77±0.20
t值		8.709	12.316
P值		＜0.001	＜0.001

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表 4 2组无痛胃镜检查患者胃镜视野清晰度比较(x±s，分)

Table 4. Comparison of gastric endoscopic clarity in two groups undergoing painless gastroscopy (x±s, points)

组别	例数	胃底	胃体	胃窦	全胃
对照组	49	1.96±0.34	2.03±0.34	1.90±0.45	1.97±0.47
试验组	49	2.45±0.46	2.55±0.41	2.67±0.31	2.65±0.32
t值		5.996	6.834	9.864	8.372
P值		＜0.001	＜0.001	＜0.001	＜0.001

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表 5 2组无痛胃镜检查患者术中冲洗次数、微小病灶检出率和胃镜检查时间比较

Table 5. Comparison of rinsing frequency, detection rate of small lesions, and examination time during painless gastroscopy between two groups of patients

组别	例数	术中冲洗≥1次[例(%)]	微小病灶检出[处(%)]	胃镜检查时间(x±s，min)
对照组	49	15(30.61)	42(85.71)	12.89±2.34
试验组	49	6(12.24)	46(93.88)	7.46±2.10
统计量		4.909^a	1.782^a	11.354^b
P值		0.027	0.182	＜0.001
注：^a为χ²值, ^b为t值。

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