ERAS理念创新护理模式对纤维支气管镜检查患者负性情绪的影响

叶文静

【摘要】目的：评价ERAS理念创新护理模式对纤维支气管镜检查患者负性情绪的影响。方法：研究资料开展时间为2022年1月—2023年1月，病例数合计300例，调查对象为本院结核三区接受纤维支气管镜检查的患者，遵循随机数表法分组，对照组行常规护理，观察组行ERAS理念创新护理模式，每组设定150例，评价分析两组患者的负性情绪、遵医行为。结果：护理前两组情绪评分差异无意义，护理后观察组患者的焦虑和抑郁评分明显比对照组低，差异有统计意义（P<0.05）；观察组患者的总依从性明显高于对照组（P<0.05）。结论：予以纤维支气管镜检查的患者实施ERAS理念创新护理模式，不仅能消除其负性情绪，还能规范患者的检查配合度，值得临床采纳。

【关键词】ERAS理念；创新护理模式；纤维支气管镜检查；负性情绪

Effect of RAS concept and innovative nursing mode on negative emotions of patients undergoing fiberoptic bronchoscopy

YE Wenjing

Zhongshan No.2 Peoples Hospital， Zhongshan， Guangdong 528400， China

【Abstract】Objective： To evaluate the effect of innovative nursing mode with ERAS concept on negative emotions of patients undergoing fiberoptic bronchoscopy. Methods： The research data was carried out from January 2022 to January 2023， and the total number of cases was 300. The patients in the third tuberculosis area of our hospital were divided into groups according to the random number table method， while the control group was given routine care， while the observation group was given innovative care mode based on ERAS concept， with 150 cases in each group. and the negative emotions and medical compliance behaviors of the patients in the two groups were evaluated and analyzed. Results： There was no significant difference in emotional scores between the two groups before nursing， while the anxiety and depression scores of the observation group patients were significantly lower than those of the control group after nursing， and the difference was statistically significant（P<0.05）； The total compliance of patients in the observation group was significantly higher than that in the control group（P<0.05）. Conclusion： Implementation ERAS concept innovation nursing mode for patients undergoing fiber bronchoscopy examination can not only eliminate their negative emotions， but also standardize the patients examination cooperation， which is worthy of clinical adoption.

【Key Words】ERAS concept； Innovative nursing mode； Fiberoptic bronchoscopy； Negative emotion

纤维支气管镜属于内镜技术之一，主要用于检查支气管和肺部病变等，借助此内镜能清晰、直观的观察到患者的病灶位置、大小、形态和特征等，用于诊断和辅助治疗具有显著效果，而且纤维支气管镜具备创伤小、操作简单灵活，安全性高等优势，故被临床广泛应用[1-2]。在实际应用中纤维支气管镜需要经口置入支气管内，具有一定的侵入性，会增加患者的心理负担，产生恐惧、焦虑和害怕情绪，甚至会引发身体不适反应，为了安抚好患者的不良心态，正确引导患者安心配合检查和治疗，必须要重视临床护理干预，采取有效的护理模式来协助患者顺利完成检查，尽早配合治疗消除病魔[3]。基于此，本文对我院结核三区的纤维支气管镜检查患者展开调查，探讨ERAS理念创新护理模式的应用效果和价值。

1 资料与方法

1.1 一般资料

病例选取起止时间为2022年1月—2023年1月，观察对象为在本院接受纤维支气管镜检查的患者，从中筛选出300例遵循随机数表法分组。……