超声胃镜检查患者清醒镇静期间护理需求的影响因素

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Abstract Objective To observe the nursing needs of patients undergoing ultrasound gastroscopy during conscious sedation, and to discuss related influencing factors. Methods A total of 87 patients undergoing ultrasound gastroscopy from the Endoscopy Center of Shantou Central Hospital, Guangdong Province from February 2018 to October 2019 were enrolled, and a baseline data survey form was designed to inquire and record the general information of the patients in detail before the implementation of the gastroscopy. A self-made sober and sedative nursing questionnaire was used to assess the nursing needs of patients, and patients with a total score of more than eight scores were included in the high-need care group, and those with a score of less than eight scores were included in the low-need care group. All possible factors were included, while single factor and multivariate logistic regression analysis were used to find out the factors affecting the high demand for nursing needs in patients with ultrasonic gastroscopy during conscious sedation. Results During the ultrasound gastroscopy of 87 patients, a total of 62 patients had low demand for conscious and sedative care, accounting for 71.26%. There were statistically significant differences in the understanding of gastroscopy diagnosis and treatment, education level, operating years of doctors, using of Lidocaine hydrochloride glue, and severe anxiety before the examination among patients in different nursing needs groups (P ＜ 0.05). The results of a single regression analysis showed that patients’ ignorance of gastroscopy diagnosis and treatment, low level of education, short operating years of doctors, using of Lidocaine hydrochloride glue, and severe anxiety before the examination were all influencing factors of the high demand for nursing needs in patients with ultrasonic gastroscopy during conscious sedation (OR ＞ 1, P ＜ 0.05). The results of multivariate logistic regression showed that patients’ ignorance of gastroscopy diagnosis and treatment, low level of education, short operating time of doctors, using of Lidocaine hydrochloride glue, and severe anxiety before the examination were all factors affecting the high demand for nursing needs in patients with ultrasonic gastroscopy during conscious sedation(OR ＞ 1, P ＜ 0.05). Conclusion Some patients undergoing ultrasound gastroscopy have a high demand for care during the conscious and sedation period, which may be related to factors such as patients’ ignorance of gastroscopy diagnosis and treatment, low education, short operating years of doctors, using of Lidocaine hydrochloride glue, and severe anxiety before the examination. Clinically, targeted interventions can be carried out accordingly.

Key words： Ultrasonic gastroscopy Conscious sedation Nursing needs Education level Anxiety

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	GUO Yanhuan YE Xiaodan▲ LUO Dongxia XU Xuan

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GUO Yanhuan YE Xiaodan▲ LUO Dongxia XU Xuan. Influencing factors of nursing needs in patients with ultrasonic gastroscopy during conscious sedation[J]. 中国医药导报, 2021, 18(15): 61-65.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I15/61

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