结肠镜检查前的注意事项及心理护理.docVIP

精品论文 参考文献 结肠镜检查前的注意事项及心理护理 桂明星 吴佳佳 　　达州市中心医院住院部导医处 四川达州 635000 　　摘要：目的：浅析结肠镜检查前的注意事项及护理措施。方法：随机选取2014年3月至2015年3月期间我院收治的结肠镜检查患者180例作为研究对象，平均分为实验组和对照组，每组各90例，对照组患者进行常规导医服务，实验组患者在对照组常规导医服务的基础上再实施心理护理干预，比较两组患者的护理满意度及医疗纠纷发生率。结果：实验组患者护理满意度为97.78%，医疗纠纷发生率为1.11%；对照组患者护理满意度为75.56%，医疗纠纷发生率为8.89%。两组数据比较实验组明显优于对照组，差异有统计学意义（Plt;0.05）。结论：实施对应的心理护理及肠道准备工作，能减少医疗纠纷的发生率，促进护患关系的发展，对提高肠镜检查及手术的成功有着至关重要的作用。 　　关键词：结肠镜检查；肠道准备；心理护理 　　【Abstract】Objective：Analyses the matters needing attention before colonoscopy and nursing measures.Methods：Randomly selected period March 2014 to March 2015 colonoscopy patients admitted to our hospital 180 cases of the study，were divided into experimental and control groups，90 cases in the control group of patients routinely Medical Service，the experimental group of patients in the control group on the basis of conventional medical Service and then implement mental nursing，nursing satisfaction and incidence of medical disputes between the two groups of patients.Results：Experimental group patients nursing satisfaction was 97.78%，the incidence of medical disputes is 1.11%；Control group patients nursing satisfaction was 75.56%，the incidence of medical disputes was 8.89%.Two groups of data to compare the experimental group was better than control group，the difference was statistically significant（Plt;0.05）.Conclusion：The implementation of the corresponding psychological nursing and bowel preparation，can reduce the incidence of medical disputes，promoting the development of the relationship between nurses and patients，to improve the success of colonoscopy examination and operation has a crucial role. 　　【Key words】Colonoscopy；Bowel preparation；mental nursing 　　结肠镜检查是诊断下消化道疾病的重要方法及内镜下手术是下消化道疾病的重要手段[1]。结肠镜检查及手术常可导致患者产生强烈的生理及心理反应，这些反应过于强烈，不但对神经、内分泌及循环系统产生影响，而且会影响检查手术的正常进行。肠道的清洁度是关键。如果检查时肠道内仍有许多粪便，就会影响进镜和观察，甚至不能完成大肠检查[2]。预约护士若能给予患者适当的心理护理，使患者解除思想顾虑和做好肠镜检查前的准备工作，积极配合检查及手术更为有利。因此，针对下消化道出血肠镜检查及手术特点，实施对应的心理护理及肠道准备工作，对提高肠镜检查及手术的成功十分重要。 　　1 资料与方法 　　1.1一般资料 随机选取2014年3月至2015