摘要
目的:探讨AIDET沟通模式对老年无痛胃肠镜检查患者心理负担及配合度的影响。方法:选取2019年1月1日~12月31日行无痛胃肠镜检查的102例老年患者为研究对象,按随机数字表法分为对照组和观察组各51例;对照组给予常规护理,观察组在对照组基础上给予AIDET沟通模式干预;比较两组入院时、麻醉清醒1 h后的心理负担感受[采用状态特质焦虑量表(STAI)、贝克抑郁问卷]及自我和谐能力[采用自我和谐量表(SCCS)],记录患者检查过程中围术期指标[包括麻醉药物用量、检查时间、收缩压(SBP)、舒张压(DBP)、心率(HR)、配合度]及相关不良反应发生情况。结果:麻醉清醒1 h后,STAI中各分量表评分及贝克抑郁问卷评分均低于入院时(P<0.05),且观察组低于对照组(P<0.05);麻醉清醒1 h后,两组SCCS中自我与经验的不和谐、自我刻板性维度评分均低于入院时(P<0.05),且观察组低于对照组(P<0.05),而两组自我灵活性维度评分均高于入院时(P<0.05),且观察组高于对照组(P<0.05);检查期间,观察组麻醉药物用量、检查时间、SBP、DBP、HR均低于对照组(P<0.01),配合度高于对照组(P<0.05)。结论:AIDET沟通模式不仅可减轻老年无痛胃肠镜检查患者心理负担感受,提高自我和谐能力,还有利于改善检查过程中的配合度,有效缩短检查时间,值得临床推广应用。
Objective:To explore the influence of AIDET communication model on the psychological burden and cooperation degree of elderly patients undergoing painless gastroenteroscopy.Methods:A total of 102 elderly patients who underwent painless gastroenteroscopy from January 1 to December 31,2019 were selected as study subjects.According to the random number table method,they were divided into control group and observation group with 51 cases each.The control group was given routine nursing,and the observation group was given AIDET communication model intervention on the basis of the control group.The two groups were compared in terms of their psychological burden feeling[State-Trait Anxiety Inventory(STAI),and Beck Depression Inventory]and self-consistency and congruence ability[Self-consistency and congruence scale,SCCS]at admission and 1 hour after anesthesia wakefulness.Perioperative indicators(including dosage of anesthetic drugs,examination time,systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),and coordination degree)and the occurrence of related adverse reactions were recorded during the examination.Results:After 1 h of anesthesia,the scores of each subscale and Beck Depression Inventory scale in STAI scale in both groups were lower than those on admission(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).After 1 h of waking up after anesthesia,the SCCS scale(disharmony of self and experience,self-rigidity)dimension scores of the two groups were lower than those at admission(P<0.05),and the observation group was lower than the control group(P<0.05),while the self-flexibility dimension scores of the two groups were higher than those at admission(P<0.05),and the observation group was higher than the control group(P<0.05).During the examination,the dosage of anesthetic drugs,examination time,SBP,DBP and HR of the observation group were all lower than those of the control group(P<0.01),and the coordination degree was higher than that of the control group(P<0.05).Conclusion:AIDET communication model can not only relieve the psychological burden of elderly patients undergoing painless gastroenteroscopy,and promote their ability of self-consistency and congruence,but also improve the degree of cooperation during the examination,and effectively shorten the examination time.It is worthy of clinical promotion and application.
作者
张薇
王雅琴
张峰萍
Zhang Wei;Wang Yaqin;Zhang Fengping(Zhejiang Rongjun Hospital,Jiaxing Zhejiang 314001,China)
出处
《齐鲁护理杂志》
2021年第2期26-29,共4页
Journal of Qilu Nursing
关键词
无痛胃肠镜
AIDET沟通模式
心理负担
自我和谐能力
Painless gastroenteroscopy
AIDET communication model
Psychological burden
Self-consistency and congruence ability
