高龄胃镜检查病人术前焦虑评估及影响因素分析

发布时间：2018-08-01 21:14

【摘要】：目的:探讨高龄胃镜检查病人镜检前发生焦虑的相关危险因素,为临床护理干预提供依据。方法:选择近期在我院接受胃镜检查的高龄病人90例,采用一般问卷调查和Zung氏焦虑自评量表对病人进行评估,将SAS评分结果进行不同因素的单因素方差分析及多元逐步回归分析。结果:本组病人焦虑症状的阳性检出率为81.1%,病人术前焦虑评分与国内常模比较差异有显著性(P0.05),病人发生焦虑与多因素有关,单因素方差分析显示,文化程度、麻醉情况、检查次数、既往住院史、家庭支持程度等项与高龄病人胃镜检查术前焦虑的发生具有相关性(P0.05),进一步的及回归分析结果显示性别、麻醉情况、检查次数等对术前焦虑的发生具有显著预测价值(P0.05)。结论:接受胃镜检查的高龄病人发生焦虑症状较为普遍,医护人员必须重视镜检前后病人的心理改变,给予针对性干预,消除病人对环境、麻醉、检查等方面的疑虑,提高病人检查配合程度,以促进检查的成功率。
[Abstract]:Objective: to explore the risk factors of anxiety in elderly patients before endoscopy, and to provide basis for clinical nursing intervention. Methods: a total of 90 elderly patients undergoing gastroscopy in our hospital were selected and evaluated by general questionnaire and Zung's anxiety self-rating scale. The results of SAS score were analyzed by univariate ANOVA and multiple stepwise regression analysis. Results: the positive rate of anxiety symptom in this group was 81.1%. There was significant difference between preoperative anxiety score and national norm (P0.05). Anxiety was related to multiple factors. The frequency of examination, the history of hospitalization and the degree of family support were correlated with the occurrence of anxiety before gastroscopy (P0.05). The results of further regression analysis showed gender and anesthesia. The frequency of examination had significant predictive value on the occurrence of preoperative anxiety (P0.05). Conclusion: anxiety symptoms in elderly patients undergoing gastroscopy are common. Medical staff must pay attention to the psychological changes of patients before and after the examination and give targeted intervention to remove the doubts of the patients about the environment, anesthesia, examination and so on. Improve the degree of patient examination cooperation to promote the success rate of examination.
【作者单位】：内蒙古医科大学附属医院;
【分类号】：R473.5

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