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目的 探讨优质护理模式对经内镜逆行胰胆管造影术(ERCP)患者护理效果的影响.方法 共入选ERCP诊疗患者292例,采用随机区组设计法分为对照组和观察组,每组146例.对照组采取常规护理模式护理,观察组在常规护理模式的基础上联合优质护理模式进行护理.观察比较2组护理前后的世界卫生组织生命质量测定量表(WHOQOL-100)、胃肠道生命质量指数(GIQLI)、汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及视觉模拟量表(VAS)评分,评价2种护理模式对患者ERCP护理质量影响的差异.结果 观察组护理后的WHOQOL-100评分,包括生理状态、心理状态、环境状态和社会关系状态评分分别为(59.3±6.0)、(61.8±7.2)、(60.3±6.2)、(62.8±7.3)分,GIQLI包括自觉症状、躯体生理状态、日常和社会活动、情绪及心理、总体状态评分分别为(79.8±4.9)、(19.8±1.8)、(14.7±1.9)、(19.2±2.8)、(105.7±6.6)分,对照组分别为(50.9±6.3)、(52.5±6.7)(51.4±5.6)、(53.4±7.1)、(67.2±4.8)、(15.6±1.9)、(10.2±1.8)、(16.3±2.3)、(94.4±6.2)分,2组比较差异有统计学意义(t=1.876~2.327,P<0.05).观察组护理后的HAMA、SAS、SDS、VAS评分分别为(24.28±4.78)、(29.48±6.54)、(30.55±7.32)、(4.55±1.18)分,对照组分别为(36.68±5.39)、(41.72±6.03)、(42.65±7.21)、(6.07±1.17)分,2组比较差异有统计学意义(t=2.876~4.012,P<0.05).结论 优质护理服务模式对ERCP患者的心理和生理均有不同程度的改善,适用于在临床中推广应用.

Objective To study the influence of high quality nursing mode on the quality of life in endoscopic retrograde cholangiopancreatography (ERCP) patients. Methods A total of 292 patients with ERCP were randomly divided into control group and observation group with 146 cases in each group by the randomized block design method. The control group was given the conventional nursing care. The observation group was given the high quality nursing care based on the conventional nursing care. The score of Quality of Life of the World Health Organization (WHOQOL- 100), Quality of Life Index of Gastrointestinal Tract (GIQLI), Hamilton Anxiety Scale (HAMA), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Visual Analogue Scale(VAS) before and after nursing care were observed and compared. The difference impact of two kinds of nursing mode on nursing quality between two groups was evaluated. Results WHOQOL-100 score in the observation group after treatment, including physiology and psychology and environment and social relations state such as grading, was respectively (59.3 ± 6.0), (61.8 ± 7.2), (60.3 ± 6.2), (62.8 ± 7.3) points and GIQLI index included self-conscious symptom and body physiological status and daily and social activities,such as state of emotional and psychological and the overall score, was respectively (79.8±4.9), (19.8±1.8), (14.7±1.9), (19.2±2.8), (105.7±6.6) points, which was (50.9±6.3), (52.5±6.7), (51.4±5.6), (53.4±7.1), (67.2±4.8), (15.6±1.9), (10.2±1.8), (16.3±2.3), (94.4 ± 6.2) points in control group, the difference between two groups was statistically significantly(t=1.876-2.327, P<0.05). HAMA score and SAS scores and SDS score and VAS score in the observation group after nursing was respectively (24.28 ± 4.78), (29.48 ± 6.54), (30.55 ± 7.32), (4.55 ± 1.18) points and respectively (36.68 ± 5.39), (41.72 ± 6.03), (42.65 ± 7.21), (6.07 ± 1.17) points in the control group, the difference between two groups was statistically significantly(t=2.876-4.012, P<0.05). Conclusions High quality nursing mode of ERCP in patients with perioperative patients of psychological and physiological all have different degrees of improvement and is suitable for popularization and application in clinic.