整体护理在合并心律失常的老年患者无痛胃镜检查中的应用

Objective To study the holistic nursing in painless gastroscopy examination for elderly patients with arrhythmia.Methods From January 2010 to March 2014, 217 elderly outpatients and inpatients received painless gastroscopy examination.The patients aged from 60~78 years, average 67.5 years old. Arrhythmia types: 33 cases with Sinus tachycardia, 16 cases withsinus bradycardia, 71 cases with ST-T changes, 14 cases with premature ventricular contractions, 29 cases withSupraventricular premature beats, 23 cases with atrial premature beats, 19 cases with premature ventricular contractionscombined ST-T changes, 12 cases with atrial premature beats combined ST-T changes. All patients have received holisticnursing respectively before painless gastroscopy inspection, the inspection process and after the inspection. Results Allpatients have been successfully in painless gastroscopy examination, 24 cases with transient speed up or slow down the heartrate, blood pressure drop, 45 cases with transient slow down the Sp O2. Vital signs back to normal after anesthesiologistsprocessed promptly. There is no serious arrhythmias, myocardial ischemic changes in all patients, overall satisfaction ofpatients by telephone or survey was 95.4%, 80.6% of patients were willing to accept the same examination again. ConclusionPainless gastroscopy examination has potential risks, holistic nursing intervention can significantly improve safety and patientsatisfaction in painless gastroscopy examination.