摘要
Abstract
Objective To explore the application of full-view risk pre-control nursing management in elderly patients undergoing digestive endoscopy diagnosis and treatment.Methods 110 elderly patients undergoing digestive endoscopy diag-nosis and treatment in Affiliated Hospital of Tangshan Vocational and Technical College from January 2021 to December 2022 were selected and divided into observation group(n =55)and control group(n =55)according to simple randomized grouping method.The observation group received full-view risk pre-control nursing management before and after digestive endoscopy di-agnosis and treatment,while the control group received routine endoscopic room nursing before and after digestive endoscopy diagnosis and treatment.The endoscopic intervention conditions(gastrointestinal function recovery time,hospital stay,inci-dence of adverse reactions)of the two groups were observed and compared.The psychological stress assessment values(SCL-90 score)and physiological stress index values[(heart rate(HR),systolic blood pressure,diastolic blood pressure,cortisol(Cor)level)]were compared between the two groups before and after endoscopic diagnosis and treatment.The risk of frailty[Fried Phenotype Frailty Scale(FP)score],sleep condition[total score of Pittsburgh Sleep Quality Index(PSQI)]and quali-ty of life[36-Item Short-Form Health Survey(SF-36)]were compared between the two groups before intervention and one week after intervention.Results After diagnosis and treatment,the gastrointestinal function recovery time,hospital stay and incidence of adverse reactions in the observation group were significantly shorter/lower than those in the control group(P＜0.05);the SCL-90 scores and physiological stress index values of the two groups were lower than those of the same group be-fore treatment(P＜0.05),and the SCL-90 score and physiological stress index values of the observation group were signifi-cantly lower than those of the control group(P＜0.05).After one week of intervention,the PSQI scores of the two groups were lower than those of the same group before the intervention(P＜0.05),and the PSQI score of the observation group was lower than that of the control group(P＜0.05);the SF-36 scores of the two groups were higher than those of the same group before intervention(P＜0.05),and the SF-36 score of the observation group was significantly higher than that of the control group(P＜0.05).Conclusion The application of full-view risk pre-control nursing management in elderly patients undergo-ing digestive endoscopy diagnosis and treatment can effectively reduce the possible risks and adverse reactions that may occur during the process of digestive endoscopy diagnosis and treatment,and improve the quality of life of patients.关键词
老年/消化内镜诊疗患者/全视角风险预控/消化内镜/心理应激/生理应激Key words
elderly/patients undergoing digestive endoscopy diagnosis and treatment/full-view risk pre-control/diges-tive endoscopy/psychological stress/physiological stress
