| Objective:To explore whether the application of whole-process optimized nursing plan in the nursing of gastroscopic esophageal foreign body removal is of positive significance to improve the clinical prognosis of gastroscopic foreign body removal.To summarize the application experience and experience of whole-process optimized nursing practice,so as to carry out the application and promotion with higher quality.Methods:Subjects were selected from the First Affiliated Hospital of Anhui Medical University from April 2018 to April 2020 who needed endoscopic treatment for esophageal foreign body impaction or retention caused by ingestion of foreign body for various reasons.The patients treated from April 2018 to March 2019 were divided into the control group,and the patients treated from April 2019 to April 2020 were divided into the study group,with a 1-month washout period.Patients in the control group were treated with traditional nursing intervention during the operation of esophagus foreign body removal by gastroscopy,while patients in the research group were treated with optimized nursing intervention during the whole process.In order to evaluate the nursing application value of the whole-process optimized nursing to improve the effect of the removal of esophageal foreign body.Age,sex,operation time,foreign body sites,foreign body morphology,treatment effect,total effective rate of treatment,operating operation times,pulse,blood pressure,mental state score,incidence of complications and nursing satisfaction of all patients were recorded respectively and contrast analysis of the above-mentioned to observe whether there was statistically significant.Results:A total of 211 patients with esophageal foreign body impaction or retention requiring gastroscopy removal were included in this study,of which 102 patients were included in the control study and 109 patients in the study group.There were no statistical differences in gender,age,operation time,foreign body impaction site and foreign body morphology between the two groups(P>0.05).The total effective rate of102 patients in the control group was 88.24%,and the total effective rate of 109 patients in the study group was 96.33%.The comparison of the total efficiency between the two groups showed significant difference(P <0.05).A comparative study of systolic and diastolic blood pressure before nursing found that There was no significant difference in the mean value between control group and study group(126.06±11.03 mm Hg vs127.07±11.45 mm Hg,80.16±7.95 mm Hg vs 79.05±8.53 mm Hg),P >0.05.There were significant differences in the systolic blood pressure and diastolic blood pressure after nursing(121.18±9.88 mm Hg vs 116.67±10.82 mm Hg,77.34±6.58 mm Hg vs72.02±5.92 mm Hg),P <0.05.There was no significant difference in the pulse of control group(82.81±14.37 bpm vs 81.48±13.13bpm)and study group(77.42±13.87 bpm vs73.42±11.26bpm)before nursing,P >0.05,and the difference between the two groups was statistically significant(P <0.05).When comparing SAS and SDS scores before nursing,there was no significant difference in the mean scores of related scales(56.57±6.55 vs 55.76±5.21,62.85±8.37 vs 64.69±8.70)between control group and study group(P >0.05),while there was significant difference in SAS and SDS scores after nursing(51.90±7.52 vs 42.22±8.03,56.27±6.33 vs 48.41±6.11),P <0.05.The total incidence of complications,including hemorrhage,perforation and laryngopharyngeal wall abscess,was 20.59% in the control group and 9.17% in the study group,and there was a significant difference in the total incidence of complications between the two groups(P <0.05).The total satisfaction rate of patients in the control group vs the study group was 80.39% and 94.50%,respectively,and the difference of total satisfaction rate between the two groups was statistically significant(P <0.05).Conclusion:Esophageal foreign body removed under gastroscope operation to implement the whole-process optimized nursing intervention treatment,can improve the total effective rate of the foreign bodies under gastroscope treatment,reduce bleeding,perforation,incidence of complications such as infection,to keep the preoperative,intraoperative and postoperative patients with stable vital signs,improve and enhance the patients’ physical and mental comfort,around the time of operation is worth to promote the use of daily nursing practice work. |
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