Discussion on the application effect of humanistic care in gastroscope nursing

Objective To explore the application effect of humanistic care in nursing care of gastroscopy. Methods 300 patients who received gastroscopy for the first time in our hospital from 20 12 1 1 February to 201March were randomly divided into intervention group and control group, with 50 patients in each group as the research object, and their nursing measures were analyzed retrospectively. Results The satisfaction rate of the control group was 94.67%, and that of the intervention group was 65,438 000.00%, the difference was statistically significant (P < 0.05). Conclusion Humanistic care in gastroscopy can effectively help patients actively cooperate with the examination and eliminate bad emotions, with remarkable effect, which is worthy of clinical promotion.

Keywords: humanistic care; Gastroscopy; Application effect

Gastroscopy is an intuitive and reliable method for diagnosis and treatment of upper digestive tract diseases at present. Electronic gastroscope is a miniature television camera installed on the top of the gastroscope, which transmits the observed images to the television information processor through the endoscope in the form of electronic signals, and converts the signals into images visible on the television imager [1]. Humanistic care refers to respecting people's subjective status and individual differences, caring about people's rich and diverse individual needs, stimulating people's initiative, enthusiasm and creativity, and promoting people's free development [2]. In this paper, 300 patients who received electronic gastroscopy in our hospital from 20 12 1 1 month to 201March were selected as the research object, and their nursing measures were analyzed retrospectively. The report is as follows.

1 data and methods

1. 1 general information

Select 300 patients who underwent electronic gastroscopy in the outpatient department of our hospital from 20 12,1month to 20 13 February as the research object, and the same doctor performed gastroscopy on two groups of patients, including male 170 patients and female1. According to the order of patients' examination, they were randomly divided into intervention group and control group, with each group 150 cases. There is no significant difference in age and sex between the two groups (P & gt0.05), which is comparable.

1.2 method

The control group was given routine nursing, while the intervention group was given humanistic care nursing on the basis of the control group. The specific method is as follows.

1.2. 1 psychological nursing

Most outpatients lack knowledge of electronic gastroscopy, and they will have symptoms such as nervousness, fear, nausea and vomiting to varying degrees. Some patients even refuse to check out because of fear, thus delaying the diagnosis and treatment of their illness. Through communication, the nursing staff analyzed the main reasons: ① Outpatients were worried about complications such as gastric perforation and gastric bleeding and some cardiovascular and cerebrovascular accidents; (2) Some intellectuals are afraid of cross-infection in the inspection process, which will adversely affect their health; ③ Usually taking lidocaine mucilage 10 mL before operation can make patients better cooperate with the examination and defoaming during gastroscopy, but anesthetic is not only bitter, but also causes discomfort symptoms such as pharyngeal swelling, nausea, inability to swallow and poor breathing after taking it. ④ Patients are worried that they will have difficulty breathing and cooperating with doctors during the examination, which will affect the examination effect; ⑤ Patients have inexplicable panic due to lack of knowledge of electronic gastroscopy, fear of the possible pain caused by the examination, and lack of trust in the professional explanation of medical staff; ⑥ The patient is unwell for a long time, and he is afraid of suffering from esophageal cancer or gastric cancer.

1.2.2 Nursing before examination

Nursing staff should have a proper name for each outpatient who comes to check, and know the patient's psychological situation in detail, whether there is an empty stomach. This paper introduces the advantages of gastroscope, the affirmation of disinfection effect of gastroscope, the professional level of gastroscope operator and the feeling of nausea and painless during examination, and tells patients the key points of cooperation during examination, swallowing and taking a deep breath according to the doctor's advice, and keeping the head from moving and lifting, so as to familiarize patients with the examination process, relax their nervousness and reduce their fear. Through the introduction of thousands of successful cases of gastroscopy, the doubts and worries of patients were relieved, the psychology of positive examination was established, and the consciousness of self-cooperation was enhanced.

1.2.3 Nursing during examination

Before the examination, help the patient lie flat on his left knee, relax his belt, gently grind his teeth, take a deep breath through his nose, and give the patient the order to swallow, hold his breath and relax while inserting the gastroscope. The saliva will naturally flow out from the curved plate next to the quarrel, and the patient's reaction will be closely observed. If there is discomfort and serious nausea, we should slow down the speed of the mirror, operate it gently and calmly, so as to facilitate the cooperation of patients, alleviate the pain of patients, shorten the examination time and get clear examination results.

1.2.4 Nursing after examination

After the examination, let the patient rest 10 ~ 15 min, and observe the patient's reaction. Make sure that the patient has no discomfort before leaving, so that the patient can understand the possible subsequent effects of using anesthetic during the examination, and let the patient know that sore throat and numbness are normal phenomena and will soon disappear. Instruct patients to eat only after the anesthesia of throat disappears, and take biopsy patients for 2 hours before eating some soft, digestible and non-irritating cold and warm food. If you have abdominal distension, abdominal pain, hematemesis, black stool and other discomfort, please come to see a doctor in time.

The statistical method of 1.3 is processed by spss 10.0 statistical software, and the counting data is processed by? 2 test with p

Two results

2. 1 See table 1 for the comparison of anxiety and fear between the two groups.

2.2 The comparison of outpatient satisfaction between the two groups is shown in Table 2.

3 discussion

3. 1 humanistic care aims to help others achieve psychological, spiritual, spiritual and social and cultural health [3]. Through psychological care, pre-examination care, in-examination care and post-examination care, the patients in outpatient gastroscopy can eliminate their fears before operation, actively cooperate during operation, effectively shorten the examination time, relieve pain and have fewer postoperative complications.

3.2 With the change of medical model and the development and perfection of medicine, it is more and more necessary to pay attention to humanistic care for patients. Humanistic care meets the requirements of social development and is the embodiment of excellent nursing work [4]. Humanistic care in nursing work can effectively reduce the occurrence of safety accidents, improve the quality of life of patients, create a warm living environment for outpatients and improve patients' satisfaction with nursing work [5]. In gastroscopy, humanistic care can effectively help patients actively cooperate with the examination and eliminate bad emotions, with remarkable effect, which is worthy of clinical promotion.

References:

[1] sheets. Endoscopy [M]. Beijing: People's Health Publishing House, 2001:143-144.

[2] Jia Xiaoli, Zhang Zijing. The application of humanistic care in the endoscopic nursing of otorhinolaryngology [J]. Nursing Research, 20 10/0,24 (18):1640-1641.

[3] Liu Jieying. Analysis on the present situation and countermeasures of humanized nursing [J]. ordinary care, 2007,5 (21): 55-57.

[4] Zhang Weixiu, Jiang Anli. Research status and analysis of humanistic care concept of nursing [J]. Chinese Journal of Nursing, 2008,43 (6): 540-543.

[5] Leininger M. Leininger on the diversity and universality of nursing culture [J]. Nursing Science, 2000,26 (4):175-181.

Nursing graduation thesis 5000 words 5

Talking about nursing intervention of medication compliance of elderly patients with hypertension

The elderly belong to the high-risk group of hypertension, and the elderly patients with hypertension are characterized by difficulty in radical treatment and long course of disease [1]. Patients must take medicine for a long time, even for life, and must take medicine on time and according to the doctor's advice to ensure that the blood pressure level can be effectively controlled. The key to ensure that elderly patients can continue to use antihypertensive drugs on time and in quantity is to carry out corresponding nursing intervention according to their medication compliance. 88 elderly hypertensive patients treated in our hospital from 2014 to 2012 were selected to further explore the nursing intervention measures affecting the medication compliance of elderly hypertensive patients. The report is as follows.

1 data and methods

The general data of elderly hypertensive patients admitted to our hospital in 20 1. 1.88 ~12 were randomly divided into control group and intervention group, with 44 cases in each group. There were 20 females and 24 males in the intervention group. The age ranged from 63 to 84, with an average age (72.29? 5.50 years old. Among them, there were 2/kloc-0 cases in stage ⅰ, 0/4 cases in stage ⅱ and 9 cases in stage ⅲ. There were 22 women and 22 men in the control group. The age ranged from 64 to 86, with an average age (73.46? 4.99 years old. There were 20 cases in stage ⅰ, 6 cases in stage ⅱ/kloc-0 and 8 cases in stage ⅲ. There was no significant difference in general data between the two groups (P & gt0.05), which was comparable.

1.2 Methods The control group only received routine nursing. Application of calcium antagonists? Conventional drugs such as receptor blockers and angiotensin converting enzyme inhibitors were used for treatment, and at the same time, intervention measures such as disease observation, regular detection of blood pressure level and basic nursing were given.

The intervention group received routine treatment and nursing, and at the same time, it was given specialized nursing according to the medication situation;

① Strictly urge elderly patients to insist on taking drugs: According to the onset time of drugs and the ambulatory blood pressure detection level of elderly patients, guide elderly patients to use drugs correctly after comprehensive analysis, and strive for the full cooperation of patients and their families. Encourage their families to supervise patients' medication, and give them enough emotional support when they find uncomfortable symptoms, so that patients can get care and psychological support from their families, adapt to the change of roles more quickly, and insist on taking drugs on time and in quantity.

(2) Make a reasonable medication plan according to the illness: optimize the medication plan, adjust the medication according to the different physiological and psychological conditions of each elderly patient, and mark the medicine box with a large font, indicating the drug name, dosage and medication time [2], which is convenient for elderly patients to remember. Choose dosage forms suitable for elderly patients, such as sustained-release tablets and long-acting dosage forms. It can not only avoid the trouble of repeated medication, but also effectively maintain the blood concentration of the drug. Choosing economical and practical drugs as far as possible can reduce the economic pressure of patients and help elderly patients to insist on taking drugs.

③ Strengthening compliance nursing: As the memory of elderly patients gradually declines and their physiology deteriorates, it is necessary to strengthen medication compliance. According to the treatment progress of elderly patients, the types and course of medication can be appropriately reduced to facilitate the memory of elderly patients. Patients can be advised to effectively associate the activities they need to complete every day with medication to prevent missing medication.

1.3 compliance evaluation of self-made drug compliance questionnaire, mainly including dosage, frequency of drug use, time of drug use, etc. All conform to the standard, indicating complete compliance; Partial compliance means universal compliance; Failure to meet the standard means non-compliance. Compliance rate = (complete compliance rate+general compliance rate)/total number of cases? 100%.

1.4 statistical methods SPSS 16.0 statistical software was used for data analysis. Are the measured data average? Standard deviation (x-? S) means t-test; The counting data is expressed by the ratio (%), using? 2 check. P & lt0.05 was statistically significant.

Two results

In the intervention group, there were 32 cases of complete compliance, 9 cases of general compliance and 3 cases of non-compliance, and the compliance rate was about 93. 18%. In the control group, there were 24 cases of complete compliance, 8 cases of general compliance and 65438 02 cases of non-compliance, the compliance rate was about 72.73%, and the compliance rate of patients in the intervention group was about 93.65438 08%, which was significantly higher than that in the control group (P

3 discussion

With the development and transformation of medical model and the prediction of future medical prospects, the focus of medical research will gradually shift from clinical diagnosis and treatment of diseases to prevention and control of diseases [3]. The prevention and treatment of cardiovascular diseases centered on hypertension has adapted to the current development direction of medical care. At the same time, with the progress of social development, people begin to realize the danger and harmfulness of hypertension, which requires nurses to constantly update the concept of nursing service in practice, constantly broaden their knowledge, such as management, pedagogy, psychology, etc., comprehensively master clinical teaching skills, give active and scientific health education to elderly patients with hypertension, stimulate their self-care awareness, help them develop good health behaviors, and prevent them from aggravating or inducing hypertension risk factors that endanger blood pressure levels.

Reach a * * * understanding between nurses and patients, establish a harmonious and friendly nurse-patient relationship, and enable patients to contact nurses at any time. According to different individual differences, different stages and different health problems, make a reasonable follow-up plan and implement targeted nursing countermeasures. Only when patients have good medical intentions in the process of clinical treatment can they achieve good compliance behavior. The more comprehensive they know about prevention and treatment knowledge, the better they cooperate with doctors and nurses, the higher the compliance of clinical treatment, thus promoting the prevention and treatment of hypertension to form a virtuous circle and helping to maintain the blood pressure level in a good state. The results showed that the compliance rate of patients in the intervention group was about 93.65438 0.08%, which was significantly higher than that in the control group (P < 0.05).

To sum up, through comprehensive analysis of the medication situation of elderly patients with hypertension and professional nursing intervention, the compliance rate of patients with hypertension can be significantly improved, which is conducive to the control and maintenance of blood pressure level and has high clinical application value.

refer to

Chen Jian, Cheng Xiulian. Experience of evidence-based nursing in improving medication compliance of elderly patients with hypertension. China Geriatric Health Care Medicine, 2012,5 (4):136-137.

[2] Cheng Xiulian, Chen Jian. Effect of evidence-based nursing on improving medication compliance of elderly hypertensive patients. Internal medicine, 20 1 1, 2 (4): 672-673.

Research progress on intervention measures to improve medication compliance of patients with essential hypertension. Nursing research, 2012,20 (5):1323-1324.

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