Abstract
Objective To explore the effects of comprehensive nursing intervention on fiber gastroscopy for senile patients. Methods Totally 100 senile patients who received fiber gastroscopy in the Department of Gastroenterology of the First Affiliated Hospital of Nanjing Medical University from September 2014 to October 2015 were selected by convenient sampling, and randomly and equally divided into an observation group and a control group. Patients in the control group received routine nursing, while patients in the observation group received comprehensive nursing intervention on the basis of routine nursing. The blood pressure, heart rate and coordination during fiber gastroscopy were compared between the patients in the two groups before and after fiber gastroscopy; and the Self-Anxiety Scale (SAS) and Self-Depression Scale (SDS) were used to rate the emotion of the patients after hospitalization and before fiber gastroscopy. Results The differences in heart rate, systolic pressure and diastolic pressure before and after fiber gastroscopy in the patients in the observation group were smaller than that of the patients in the control group (t=43.732, 42.744, 61.492; P<0.01) . Totally 45 patients in the observation group could keep quiet during fiber gastroscopy, higher than the number in the control group (χ2=17.533, P<0.01) ; 5 patients in the observation group showed fear during fiber gastroscopy, lower than the number in the control group (χ2=17.533, P<0.01) ; and the number of patients in the observation group who showed nausea, vomiting and cough was lower than that in the control group (P<0.01) . The SDS and SAS scores of the patients in the observation group before fiber gastroscopy were (41.14±2.14) and (41.12±3.47) , both lower than those of the patients in the control group (t=13.471, 8.843; P<0.01) . Conclusions Comprehensive nursing intervention for senile patients can eliminate the fear, improve the adaptability, and mitigate the psychological and physical stress reaction in the patients. Key words: Aged; Fibergastroscopy; Comprehensive nursing
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