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为探讨口鼻咽护理方法在胃镜下手术后留置胃管患者中的应用效果,本研究选取2015年1月至2016年6月在我院接受治疗的86例胃镜下手术后留置胃管患者为研究对象,根据计算机随机数字表法将86例患者分为对照组(43例)和观察组(43例),对照组给予集束化护理,观察组患者给予集束化护理和舒适护理,观察患者的不良反应,根据舒适状况量表(GCQ)评价舒适得分,根据视觉模拟量表(VAS)评价疼痛程度。结果显示:观察组患者口鼻咽干燥、排痰困难、疼痛、头颈部活动受限等不良反应发生率明显低于对照组(p<0.05);观察组的生理维度、心理维度、社会维度和环境维度评分均高于对照组(p<0.05);观察组的VAS评分明显低于对照组(p<0.05)。由此可知,集束化护理联合舒适护理可减少胃镜下手术后留置胃管患者不良反应发生率,提高患者舒适性,降低疼痛程度,值得临床推广应用。
In order to explore the application effect of oro-pharyngopharyngeal nursing in patients undergoing gastroscopic surgery for gastric tube placement, we selected 86 patients undergoing gastroscopic surgery for gastric tube placement in our hospital from January 2015 to June 2016 as Subjects, 86 patients were divided into control group (43 cases) and observation group (43 cases) according to the computer random number table method. The control group received intensive care and the observation group received intensive care and comfortable nursing. Adverse reactions, comfort scores were evaluated according to the Comfort Status Scale (GCQ), and pain was evaluated according to the Visual Analog Scale (VAS). The results showed that: the observation group patients with oro-nasopharyngeal dryness, expectoration difficulty, pain, head and neck activity restrictions and other adverse reactions was significantly lower than the control group (p <0.05); observation group physical dimension, psychological dimension, social dimension (P <0.05). The VAS score of the observation group was significantly lower than that of the control group (p <0.05). It can be seen, combined nursing care can be combined to reduce the incidence of adverse reactions after gastric tube surgery patients with adverse reactions, improve patient comfort and reduce pain, is worthy of clinical application.