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                                    当前位置: 代写一篇论文多少钱 > 医学论文 > 老年人无痛胃肠镜检查中整体护理的应用效果

                                    老年人无痛胃肠镜检查中整体护理的应用效果

                                    时间:2019-01-22 10:05作者:温亚琴
                                    本文导读:这是一篇关于老年人无痛胃肠镜检查中整体护理的应用效果的文章,无痛胃肠镜检查是指在胃肠镜诊疗时通过静脉注射适量镇静、镇痛的药物,使患者在中至深度镇静水平下完成检查和治疗。与传统检查相比,无痛胃肠镜检查大幅减轻了患者所承受的痛苦,提高了检查效率。

                                      摘    要: 棋牌大全下载安装目的 探讨对行无痛胃肠镜检查的老年患者实施整体护理的效果。方法 选择我院行无痛胃肠镜检查的老年患者120例,均给予整体护理措施,观察其应用效果。结果 120例老年患者的护理满意度高达97.5%,并发症发生率为9.17%,所有患者的生命体征均比较平稳。结论 对行无痛胃肠镜检查的老年患者实施整体护理安全有效。

                                      关键词: 无痛胃肠镜; 老年患者; 整体护理; 应用效果;

                                      Abstract: Objective To discuss the clinical effect of holistic nursing measures on the elderly patients with painless gastroenterological endoscope,and to summarize the nursing experience. Methods 120 cases of elderly patients with painless gastrointestinal endoscopy were selected and they were given holistic nursing intervention. Results The nursing satisfaction of all elderly patients was as high as 97.5%,and the complication rate was only 9.17%. The vital signs of all the patients were relatively smooth. Conclusion The effect of holistic nursing measures on the elderly patients with painless gastroenterological endoscope was safe and effective.

                                      Keyword: 棋牌大全下载安装Painless gastroenterological endoscope; Elderly patients; Holistic nursing; Application effect;

                                      WUTONGWEICHANGJINGJIANCHASHIZHIZAIWEICHANGJINGZHENLIAOSHITONGGUOJINGMAIZHUSHESHILIANGZHENJING、ZHENTONGDEYAOWU,SHIHUANZHEZAIZHONGZHISHENDUZHENJINGSHUIPINGXIAWANCHENGJIANCHAHEZHILIAO。YUCHUANTONGJIANCHAXIANGBI,WUTONGWEICHANGJINGJIANCHADAFUJIANQINGLEHUANZHESUOCHENGSHOUDETONGKU,TIGAOLEJIANCHAXIAOLV[1]。XIANGDUIYUNIANQINGHUANZHE,LAONIANHUANZHEDAIXIELVDI、QIGUANGONGNENGSHUAITUI,DUIJIANCHADERENNAIDUJIANGDI,SHISHIMAZUIDENANDUZENGJIA[2,3,4]。YINCI,YOUXIAODELINCHUANGHULIDUIYUBAOZHANGLAONIANHUANZHESHUNLI、ANQUANDIWANCHENGJIANCHAZHIGUANZHONGYAO。BENYANJIUZHIZAIGUANCHAZAILAONIANHUANZHEWUTONGWEICHANGJINGJIANCHAZHONGSHISHIZHENGTIHULIDELINCHUANGXIAOGUO,XIANBAOGAORUXIA。

                                      1 、资料与方法

                                      1.1、 一般资料

                                      XUANZE2017NIAN5YUE—2018NIAN4YUEWOYUANSHOUZHIDEXINGWUTONGWEICHANGJINGJIANCHADELAONIANHUANZHE120LI,QIZHONGNAN65LI,NV55LI,NIANLING63SUI~75SUI,PINGJUNNIANLING(66.2±1.8)SUI。PAICHUHEBINGJIAOWEIYANZHONGDEZANGQIGONGNENGSHUAIJIEHUANZHE;HEBINGXUEGUANJIBINGHUOZHONGDUZUSAIXINGHUXIGONGNENGZHANGAIHUANZHE;YOUMAZUIGUOMINSHIDEHUANZHE;HEBINGJINGSHENJIBING、YISHIZHANGAIHUOYUYANJIAOLIUZHANGAIDEHUANZHE;HUAIYIHUOZHENDUANWEIWEICHANGDAOGENGZU、CHANGCHUANKONG、ZHONGDUXINGJUJIECHANGZHEDENG[5,6]。

                                      1.2、 方法

                                      所有患者均采取整体护理[7,8,9],具体护理内容如下:(1)情况了解及告知:仔细询问患者身体状况,了解既往病史。为患者及家属解答无痛胃肠镜检查的相关问题,确保其清楚全部注意事项并在知情同意书上签字。(2)检查前心理疏导:为患者及家属介绍无痛胃肠镜检查的原理、操作过程,及时、准确地解答患者及家属的疑问,消除其检查前的紧张情绪,缓解心理压力。(3)麻醉前后护理:麻醉前对患者进行麻醉药物过敏史询问,评估其身体状况,并将麻醉方法、麻醉时间、可能发生的不良反应和相关注意事项等告知患者及家属。对麻醉药物及仪器按照规程进行清点和检查,并准备应急方案。(4)检查前临床护理:对于门诊患者,提前嘱咐好检查前饮食等注意事项;对于住院患者,应严格监督患者的饮食,嘱咐家属为患者准备少渣食物,检查前10 h禁食水。(5)检查中临床护理:接收患者时再次核对各项检查单,确认患者可以进行无痛胃肠镜检查;协助临床医师、麻醉医师完成胃肠镜诊断和治疗操作。(6)检查后护理:检查结束后密切观察患者的生命体征,若出现异常,及时通知相关人员进行处理;嘱咐患者安静卧床休息,给予低流量吸氧;检查结束后至少2 h患者才可以进食,食物以少渣流质为主。离院须有家属陪同,术后当天不得驾驶机动车辆、进行机械操作或从事高空作业。
                                     

                                    老年人无痛胃肠镜检查中整体护理的应用效果
                                     

                                      1.3 、护理评测标准

                                      GENJUWOYUANZIZHIDEMANYIDUDIAOCHAWENJUANJINXINGHULIMANYIDUPINGGU,MANFEN100FEN,>90FENWEIMANYI;80~90FENWEIJIBENMANYI;<80FENWEIBUMANYI。TONGJI2ZUBINGFAZHENGFASHENGQINGKUANG。

                                      2、 结果

                                      2.1、 护理满意度

                                      120LILAONIANHUANZHEZHONG,WEIYAN45LI,WEIKUIYANG54LI,SHIERZHICHANGKUIYANG21LI。JINGGUOZHENGTIHULI,HUANZHEMANYI91LI,JIBENMANYI26LI,BUMANYI3LI,HULIMANYIDU97.5%。

                                      2.2、 并发症

                                    棋牌大全下载安装   CHUXIANEXINOUTU5LI,FUTONGFUZHANG4LI,XINLVSHICHANG1LI、DIXUETANG1LI,BINGFAZHENGZONGFASHENGLV9.17%。

                                      3 、讨论

                                    棋牌大全下载安装   CHUANTONGWEICHANGJINGJIANCHAJIHUANZHEDAILAIHENDADETONGKU,HUANZHEDUOCUNZAIWEIJUXINLI,YIJINGJIESHOUGUOWEICHANGJINGJIANCHAHEZHILIAODEHUANZHEZHONG,YUEBANSHURENBUYUANYIJIESHOUZAIJIANCHA。LINGWAI,YOUYUCHUANTONGWEICHANGJINGJIANCHASHIJIANZHANG、QIXIECAOZUORONGYIYINQIHUANZHEBUSHI,SHENZHISHIDEJIANCHANANYIJINXING。

                                    棋牌大全下载安装   WUTONGWEICHANGJINGJIANCHAKEYIDAFUTIGAOHUANZHEDUIWEICHANGJINGJIANCHADENAISHOUCHENGDU,BIMIANHUANZHEYINJUPAEXIN、TENGTONGDENGTIYANERJUJUEJINXINGWEICHANGJINGJIANCHADAOZHIBINGQINGYANWU,ZHENGGEGUOCHENGHUANZHEWUTONGKU、WUJIYI,LIYUYISHIZIXI、CHEDIDIWANCHENGXIANGYINGJIANCHAHEZHILIAO,TIGAOJIANCHAXIAOLVHEZHUNQUELV。SUIZHEWOGUORENKOULAOLINGHUADEJIASUHENEIJINGJISHUDEJINBU,LINCHUANGSHOUZHIDELAONIANHUANZHEZHUNIANZENGJIA,YOUYULAONIANRENSHENGLIGONGNENGSHUAITUI,YINCIZHENGQUEDIYUGUHUANZHEDUIJIANCHAJIMAZUIDENAISHOULI,CHONGFENZUOHAOJIANCHAQIANHOUHULIGONGZUO,DUIYULAONIANHUANZHEYOUFEICHANGZHONGYAODEYIYI。

                                      BENYANJIUXUANQUDEBINGLIZHONG,HULIMANYIDUDADAO97.5%,SHUOMINGSHISHIZHENGTIHULIYOUZHUYUHUANJIELAONIANHUANZHEZAIJIANCHAQIANDEJINZHANGQINGXU,GAISHANJIANCHAQIJIANDEBUSHIZHUANGKUANG,TIGAOLAONIANHUANZHEZAIJIANCHAQIJIANDESHUSHIDU。JIANCHAHOUBINGFAZHENGFASHENGLVWEI9.17%,SUOYOUHUANZHEDESHENGMINGTIZHENGBIJIAOWENDING,JIANCHAGUOCHENGBIJIAOSHUNLI,SHUOMINGSHISHIZHENGTIHULIKEYOUXIAOJIANQINGLAONIANHUANZHEZAIJIANCHAHOUDETONGKU。

                                      ZONGSHANGSUOSHU,DUIJINXINGWUTONGWEICHANGJINGJIANCHADELAONIANHUANZHESHISHIZHENGTIHULIXIAOGUOXIANZHE,JIANSHAOLEBULIANGFANYINGDEFASHENG,YIYUBEILAONIANHUANZHEJIESHOU,SHIYIZAILINCHUANGTUIGUANGYINGYONG。

                                      参考文献

                                      [1] 岑惠珍.3 827例无痛胃肠镜患者的护理管理体会[J].中国卫生产业,2017,15(33):23-25.
                                      [2] 李晓波.老年患者无痛胃肠镜的护理[J].中国医药指南,2016,14(5):238-239.
                                      [3] 罗子青,朱金早.高龄人群无痛胃镜和常规胃镜检查的护理要点探讨[J].中国医学创新,2016,13(30):67-69.
                                      [4] 向红艳.老年患者无痛胃肠镜联合检查的临床护理研究[J].中国社区医师,2017,33(3):137-138.
                                      [5] 林大向.老年患者无痛胃肠镜检查并发症的原因分析及护理对策[J].社区医学杂志,2015,13(3):73-74.
                                      [6] 白雪.探讨无痛胃镜检查中护理相关危险因素及防范措施[J].世界最新医学信息文摘,2016,16(4):265-266.
                                      [7] 刘彦琼.个性化舒适护理在无痛胃镜中的应用研究[J].中外医学研究,2016,14(9):118-120.
                                      [8] 霍慧.无痛胃镜检查术护理体会[J].河南外科学杂志,2016,22(3):115-116.
                                      [9] 石利.对进行无痛胃肠镜检查的老年患者进行护理安全管理的效果分析[J].当代医药论丛,2015,13(6):129-130.

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