摘要
目的探讨基于SHEL风险评估模型的针对性引导对消化内镜检查患者应激反应与配合度的影响。方法选取2022年1−12月于海军军医大学第一附属医院健康管理中心进行消化内镜检查的92例患者作为研究对象,根据入院时间与不同护理方法进行分组,每组46例。对照组采取常规护理,观察组增用基于SHEL风险评估模型的针对性引导,比较2组患者的心率、血压、心理状态、配合度和不适感程度。结果检查过程中,观察组心率、舒张压、收缩压检测结果升高幅度小于对照组(P<0.05);检查结束后,观察组焦虑自评量表(SAS⁃CR)、抑郁自评量表(SDS)评分低于对照组,观察组配合度高于对照组,不适感占比低于对照组,差异均有统计学意义(P<0.05)。结论在消化内镜检查过程中,基于SHEL风险评估模型的针对性引导能够减轻患者的生理、心理应激反应,提高患者的配合度。
Objective To explore the impact of targeted guidance based on the SHEL risk assessment model on stress response and compliance of patients undergoing gastrointestinal endoscopy.Methods A total of 92 patients who underwent gastrointestinal endoscopy at the Health Management Centre of The First Affiliated Hospital of Naval Medical University from January to December 2022 were selected as research objects.They were divided into two groups according to the time of admission and the nursing method used,with 46 cases in each group.The control group received conventional care,and the observation group was given targeted guidance based on the SHEL risk assessment model besides conventional care.The heart rate,blood pressure,psychological status,degree of cooperation,and pain rate were compared between two groups.Results The increases in heart rate,diastolic blood pressure and systolic blood pressure in the observation group were less than those in the control group during the examination(all P<0.05).After the examination,the scores of the Self Rating Anxiety Scale(SAS⁃CR)and Self Rating Depression Scale(SDS)in the observation group were significantly lower than those in the control group;the degree of patient compliance in the observation group was significantly higher than that in the control group;and the proportion of patients with discomfort in the observation group was lower than that in the control group(all P<0.05).Conclusion Targeted guidance based on the SHEL risk assessment model can alleviate physiological and psychological stress reactions and improve patient compliance during gastrointestinal endoscopy.
作者
王玉萍
陈琳
吕凌云
汪志平
Wang Yuping;Chen Lin;Lyu Lingyun;Wang Zhiping(Health Management Centre,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)
出处
《海军医学杂志》
2024年第7期756-760,共5页
Journal of Navy Medicine
关键词
消化内镜
SHEL风险评估模型
针对性引导
心理应激
配合度
Gastrointestinal endoscopy
SHEL risk assessment model
Targeted guidance
Psychological stress
Patient compliance
