【摘要】 目的：研究消化內(nèi)鏡檢查患者心理應激反應與綜合護理管理干預方案。方法：選擇2015年6月-2016年6月醫(yī)院接收的消化內(nèi)鏡檢查患者136例，隨機分為對照組和觀察組，每組68例。兩組患者均行常規(guī)消化內(nèi)鏡檢查，對照組患者采用常規(guī)基礎護理方法，觀察組患者在常規(guī)護理基礎上，針對患者心理應激反應，采取綜合護理管理方法。對比兩組患者護理前后的焦慮和抑郁情況，以及檢查依從性和檢查積極性。結(jié)果：護理前，兩組患者SAS、SDS評分比較，差異無統(tǒng)計學意義（P>0.05）；護理后，觀察組患者SAS評分（35.45±2.13）分，SDS評分（37.18±2.06）分，均低于對照組，差異均有統(tǒng)計學意義（t=3.64、4.11，P<0.05）。護理后，觀察組患者依從率97.06%，積極率94.12%，均高于對照組，差異均有統(tǒng)計學意義（字2=22.37、14.97，P<0.05）。結(jié)論：在消化內(nèi)鏡檢查中，針對患者產(chǎn)生的心理應激反應采用綜合護理管理干預方案進行護理，能夠有效確保檢查的順利進行。
　　【關(guān)鍵詞】 消化內(nèi)鏡檢查； 心理應激反應； 綜合護理管理干預方案
　　doi：10.14033/j.cnki.cfmr.2018.5.051 文獻標識碼 B 文章編號 1674-6805（2018）05-0100-02
　　【Abstract】 Objective：To study the psychological stress response and integrated nursing management intervention scheme of patients with digestive endoscopy.Method：A total of 136 patients with digestive endoscopy were selected from June 2015 to June 2016.The patients were randomly divided into the control group and the observation group，68 patients in each group.Two groups of patients were received normal digestive endoscopy，and the control group was treated by nursing methods on a regular basis，the observation group adopted comprehensive nursing management methods towards psychological stress reaction on the basis of conventional nursing..Compared the anxiety and depression before and after care，check compliance and check positivity of two groups of patients.Result：Before nursing，there were no significant differences of the SAS and SDS scores between the two groups（P>0.05）.After nursing，the SAS score of the observation group was （35.45±2.13）points，and the SDS score was （37.18±2.06）points，which were lower than those of the control group，the differences were statistically significant（t=3.64，4.11，P<0.05）.After nursing，the compliance rate of the observation group was 97.06% and the positive rate was 94.12%，which were higher than those of the control group，the differences were statistically significant（字2=22.37，14.97，P<0.05）.Conclusion：In the process of endoscopic endoscopy，the nursing management intervention scheme on psychological stress of patients is used to ensure the smooth progress of the examination.
　　【Key words】 Digestion endoscopy； Psychological stress response； Integrated nursing management intervention programme
　　First-author’s address：Union Hospital of Fujian Medical University，F(xiàn)uzhou 350001，China
　　消化內(nèi)鏡檢查是目前臨床上一種十分常用的診斷檢查技術(shù)，主要用于診斷和治療消化道疾病。由于消化內(nèi)鏡檢查是一種侵入性操作，難免會對患者造成不良影響，導致患者產(chǎn)生緊張、焦慮、恐懼等不良的心理情緒，進而對檢查的正常進行造成影響[1]。對此，針對患者在消化內(nèi)鏡檢查過程中產(chǎn)生的心理應激反應，應當采取有效的綜合護理管理干預方案進行護理，緩解和消除患者的不良情緒，提高患者檢查依從性和積極性，確保檢查的順利進行，得到更為準確的檢查結(jié)果[2]�；诖耍疚倪x擇2015年6月-2016年6月醫(yī)院接收的消化內(nèi)鏡檢查患者136例，研究了消化內(nèi)鏡檢查患者心理應激反應與綜合護理管理干預方案，現(xiàn)報道如下。

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