Volume 22 Issue 5
May  2024
Turn off MathJax
Article Contents
XU Yan, HUANG Xiaolin, ZHUANG Zhaomeng. Effect of AIDET communication complex nursing on anxiety and gastroscopy quality in patients undergoing initial painless gastroscopy[J]. Chinese Journal of General Practice, 2024, 22(5): 833-835. doi: 10.16766/j.cnki.issn.1674-4152.003514
Citation: XU Yan, HUANG Xiaolin, ZHUANG Zhaomeng. Effect of AIDET communication complex nursing on anxiety and gastroscopy quality in patients undergoing initial painless gastroscopy[J]. Chinese Journal of General Practice, 2024, 22(5): 833-835. doi: 10.16766/j.cnki.issn.1674-4152.003514

Effect of AIDET communication complex nursing on anxiety and gastroscopy quality in patients undergoing initial painless gastroscopy

doi: 10.16766/j.cnki.issn.1674-4152.003514
Funds:

 Y20220623

 2023KY1162

 2024ZR030

  • Received Date: 2024-02-16
    Available Online: 2024-07-20
  •   Objective   The extensive development of painless gastroscopy has put forward higher requirements for clinical nursing services. This study constructed a nursing scheme of acknowledge introduce duration explanation and thank you (AIDET) communication mode combined intervention and discussed the application effect on the initial patients.   Methods   A total of 98 outpatients who planned to undergo painless gastroscopy in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from June 2021 to June 2023 were divided into control group (49 cases, traditional communication mode + lying on the left side after oral strepase protease) and experimental group (49 cases, AIDET communication mode+postural care after oral strepase protease) by random number table method. The intervention effect of the two groups was compared.   Results   The Hamilton anxiety scale (HAMA) score was lower than that of the control group (P < 0.05). The coordination score of awareness and position activity of the examination was higher than that of the control group (P < 0.05). The visual field resolution of the fundus of the stomach (2.45±0.46), the body of the stomach (2.55±0.41), the antrum (2.67±0.31), and the whole stomach (2.65±0.32) were higher than those of control group (1.96±0.34), (2.03±0.34), (1.90±0.45) and (1.97±0.47) score (t=5.996, 6.834, 9.864, 8.372, P < 0.05). Intraoperative irrigation ≥1 time in 6 cases was less than that in the control group in 15 cases (χ2=4.909, P < 0.05). The time of gastroscopy (7.46±2.10 min) was shorter than that of the control group (12.89±2.34 min), t=11.354, P < 0.05. The detection rate of microlesion was 93.88% (46/49), which was slightly higher than that of the control group 85.71% (42/49), P>0.05.   Conclusion   The application of AIDET communication combined with oral streptase protease postural care can significantly relieve the anxiety of patients undergoing initial painless gastroscopy, and improve the cooperation of the examination and the quality and efficiency of the gastroscopy.

     

  • loading
  • [1]
    齐军, 韩怡, 武静. 胃镜前应用链霉蛋白酶联合常规药物对老年患者胃黏膜微小病变检出率的影响[J]. 中国老年学杂志, 2023, 43(15): 3664-3667. doi: 10.3969/j.issn.1005-9202.2023.15.024

    QI J, HAN Y, WU J. Effect of Streptomyces protease combined with conventional drugs before gastroscopy on the detection rate of gastric mucosal minor lesions in elderly patients[J]. Chinese Journal of Gerontology, 2023, 43(15): 3664-3667. doi: 10.3969/j.issn.1005-9202.2023.15.024
    [2]
    吴小配, 于智慧, 房晓文. 链霉蛋白酶联合不同剂量西甲硅油对电子胃镜检查中视野清晰度及麻醉药用量的影响[J]. 医学临床研究, 2023, 40(2): 245-247, 251. doi: 10.3969/j.issn.1671-7171.2023.02.024

    WU X P, YU Z H, FANG X W. Effects of streptomycin combined with different doses of simethicone oil on visual field clarity and anesthetic dosage in electronic gastroscopy[J]. Journal of Clinical Research, 2023, 40(2): 245-247, 251. doi: 10.3969/j.issn.1671-7171.2023.02.024
    [3]
    蔡丽华, 何利平, 王丽珍. 标准化体位联合胃黏膜祛泡剂对无痛胃镜检查质量的影响[J]. 当代护士(下旬刊), 2022, 29(5): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ202205003.htm

    CAI L H, HE L P, WANG L Z. Effect of standardized body position combined with gastric mucosal defoamer on the quality of painless gastroscopy[J]. Modern Nurse, 2022, 29(5): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-DDHZ202205003.htm
    [4]
    余晓帆, 马志杰, 陈宁. 体位翻转对胃镜检查病人服用黏膜清洁剂后的胃黏膜清洁度的影响[J]. 全科护理, 2023, 21(33): 4707-4709. doi: 10.12104/j.issn.1674-4748.2023.33.024

    YU X F, MA Z J, CHEN N. Effect of position turnover on the cleanliness of patients after taking mucosal cleaners on gastroscopy[J]. Chinese General Practice Nursing, 2023, 21(33): 4707-4709. doi: 10.12104/j.issn.1674-4748.2023.33.024
    [5]
    王海燕, 朱亚珍, 潘友让, 等. 治疗性沟通联合常规护理对阻塞性睡眠呼吸暂停综合征患者睡眠质量和心理状况的影响[J]. 中华全科医学, 2023, 21(12): 2160-2164. doi: 10.16766/j.cnki.issn.1674-4152.003313

    WANG H Y, ZHU Y Z, PAN Y R, et al. The effect of therapeutic communication combined with routine care on sleep quality and psychological status of patients with obstructive sleep apnea syndrome[J]. Chinese Journal of General Practice, 2023, 21(12): 2160-2164. doi: 10.16766/j.cnki.issn.1674-4152.003313
    [6]
    PANCHUAY W, SOONTORN T, SONGWATHANA P. Exploring nurses ' experiences in applying AIDET framework to improve communication skills in the emergency department: a qualitative study[J]. Belitung Nurs J, 2023, 9(5): 464-470. doi: 10.33546/bnj.2789
    [7]
    KUO C H, SHEU B S, KAO A W, et al. A defoaming agent should be used with pronase premedication to improve visibility in upper gastrointestinal endoscopy[J]. Endoscopy, 2002, 34(7): 531-534. doi: 10.1055/s-2002-33220
    [8]
    张海斌, 徐勤伟, 陈涛, 等. 链霉蛋白酶与二甲硅油对胃镜检查微小病变检出率影响的比较[J]. 中华消化内镜杂志, 2023, 40(11): 921-924.

    ZHANG H B, XU Q W, CHEN T, et al. Comparison of effects of streptavidin and dimethylsilicone oil on the detection rate of microscopic lesions under gastroscopy[J]. Chinese Journal of Digestive Endoscopy, 2023, 40(11): 921-924.
    [9]
    LI Y P, ZHOU Y. Differential dosing of oxycodone in combination with propofol in diagnostic painless gastroscopy in elderly patients: a prospective randomized controlled trial[J]. Medicine (Baltimore), 2022, 101(51): e32427. DOI: 10.1097/MD.0000000000032427.
    [10]
    罗明华, 余孝君. AIDET沟通模式对前庭性偏头痛患者心理状态、自护能力的影响[J]. 护理实践与研究, 2023, 20(7): 1042-1046. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202307017.htm

    LUO M H, YU X J. Effect of AIDET communication model on the psychological state and self-care ability of vestibular migraine patients[J]. Nursing Practice and Research, 2023, 20(7): 1042-1046. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202307017.htm
    [11]
    YANG H, LUO W, DU X, et al. The implementation and effect evaluation of AIDET standard communication health education mode under the King theory of goal attainment: a randomized control study[J]. Medicine (Baltimore), 2023, 102(48): e36083. DOI: 10.1097/MD.0000000000036083.
    [12]
    王琼, 李汶雨, 李佩, 等. AIDET沟通模式在复诊脑卒中患者中的应用[J]. 中华现代护理杂志, 2021, 27(1): 103-107.

    WANG Q, LI W Y, LI P, et al. Application of AIDET communication model in return visit of stroke patients[J]. Chinese Journal of Modern Nursing, 2021, 27(1): 103-107.
    [13]
    王少平. AIDET沟通模式护理对急性白血病化疗患者心理状态、依从性及行为方式的影响[J]. 国际护理学杂志, 2022, 41(10): 1778-1781.

    WANG S P. Effect of AIDET communication mode nursing on mental state, compliance and behavior of acute leukemia patients undergoing chemotherapy[J]. International Journal of Nursing, 2022, 41(10): 1778-1781.
    [14]
    赵校含, 马亚楠, 刘瑞云, 等. AIDET沟通模式在临床护理中的应用研究进展[J]. 护理研究, 2023, 37(6): 1026-1030. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202306016.htm

    ZHAO X H, MA Y N, LIU R Y, et al. Application progress of AIDET communication mode in clinical nursing[J]. Nursing Research, 2023, 37(6): 1026-1030. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202306016.htm
    [15]
    张慧, 庞秋萍, 苏淑芬, 等. 纸巾联合360°水平翻身法在胃镜检查术前准备中的应用[J]. 中国实用护理杂志, 2022, 38(6): 456-460.

    ZHAO X H, MA Y N, LIU R Y, et al. Application progress of AIDET communication mode in clinical nursing[J]. Chinese Nursing Research, 2022, 38(6): 456-460.
    [16]
    吴冰冰, 陈泽鑫, 李祥云, 等. 体位干预对胃镜检查中胃内黏膜清晰度影响的网状Meta分析[J]. 护理与康复, 2023, 22(11): 14-23. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF202311003.htm

    WU B B, CHEN Z X, LI X Y, et al. The effect of posture intervention on intragastric mucosal clarity in gastroscopy: a network meta-analysis[J]. Journal of Nursing and Rehabilitation, 2023, 22(11): 14-23. https://www.cnki.com.cn/Article/CJFDTOTAL-HLKF202311003.htm
    [17]
    陈光毅, 曾培培, 李秀梅, 等. 两种体位活动改善患者胃镜检查效果的比较研究[J]. 护理管理杂志, 2022, 22(4): 285-289. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202204017.htm

    CHEN G Y, ZENG P P, LI X M, et al. A comparative study of two postural activities in improving gastroscopy effect of patients[J]. Journal of Nursing Administration, 2022, 22(4): 285-289. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202204017.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (32) PDF downloads(3) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return