标准化体位宣教图在清醒状态下胃镜检查患者中的应用研究

Application of education picture of standardized position in patients undergoing gastroscopy in awake state

摘要:

为探讨标准化体位宣教图在清醒状态下胃镜检查患者中的应用效果，前瞻性选取北京友谊医院2022年4—5月门诊择期行普通胃镜检查的患者80例，按随机数字法分为两组，其中试验组40例，对照组40例。对照组采用传统的胃镜检查前指导准备方法，试验组在对照组的基础上联合标准化体位宣教图给予患者检查前指导。记录并比较两组患者体位摆放时间、胃镜检查时间、患者胃镜检查满意度、操作医师满意度以及相关不良反应的发生情况。结果显示，体位摆放时间试验组为（38.70±3.09）s，对照组为（50.25±3.12）s，差异有统计学意义（t=-16.637，P<0.001）。胃镜检查时间试验组为（11.63±1.51）min，对照组为（15.53±1.69）min，差异有统计学意义（t=-10.856，P<0.001）。试验组和对照组患者满意度分别是92.5%（37/40）和65.0%（26/40），操作医师满意度分别是90.0%（36/40）和67.5%（27/40），差异均有统计学意义（P=0.005，P=0.027）。术后发生恶心的患者试验组1例，对照组9例，差异有统计学意义（P=0.014）。清醒状态下胃镜检查前通过标准化体位宣教图对患者进行宣教，有利于缩短体位摆放时间和胃镜操作时间，提高患者及操作医师满意度的同时减少相关并发症发生。

Abstract:

To explore the effect of education picture of standardized position in patients undergoing gastroscopy in awake state, 80 patients who underwent gastroscopy in Beijing Friendship Hospital from April 2022 to May 2022 were prospectively selected and divided into two groups by random number method, with 40 cases in experimental group and 40 cases in control group. Patients in control group received traditional conduction before gastroscopy, while patients in experimental group received picture education with standardized position based on the traditional method. The time of position placement, the time of gastroscopy, patient satisfaction, operator satisfaction and the occurrence of related adverse reactions between the two groups were recorded and compared. The results showed that the time of body position placement was 38.70±3.09 seconds in the experimental group and 50.25±3.12 seconds in the control group with statistical difference (t=-16.637, P<0.001). The time of gastroscopy in the experimental group was 11.63±1.51 min, while that in the control group was 15.53±1.69 min, with statistical difference (t=-10.856, P<0.001). Patient satisfaction was 92.5% (37/40) in the experimental group and 65.0% (26/40) in the control group, and operator satisfaction was 90.0% (36/40) and 67.5% (27/40) in the experimental group and the control group, respectively. The differences were both statistically significant (P=0.005, P=0.027). Postoperative nausea occurred in 1 case in the experimental group, while 9 cases in the control group (P=0.014). Using education picture of standardized position in patients before undergoing gastroscopy can shorten the time of position placement and gastroscopy, improve the satisfaction of patients and physicians, and reduce the occurrence of adverse events.