Huang Li, Zhu Sujuan, Chu Jing, Zhong Suqin
Li Huang Department of Endoscopy Center, Hai'an Traditional Chinese Medicine Hospital, Hai'an, Jiangsu Province 226000, P.R. China.
Sujuan Zhu Department of Gynecology, Hai'an Traditional Chinese Medicine Hospital, Hai'an, Jiangsu Province 226000, P.R. China.
Pak J Med Sci. 2024 Dec;40(11):2502-2507. doi: 10.12669/pjms.40.11.10744.
To study the efficacy of risk prevention management based on Heinrich's Law in nursing care of elderly patients undergoing digestive endoscopy (DE).
In this retrospective study clinical data of 182 elderly patients who underwent DE in Hai'an Traditional Chinese Medicine Hospital from April 2021 to September 2023 were collected. A total of 89 patients received routine nursing care (Control-group), and 93 patients received risk prevention management based on Heinrich's Law in addition to the routine nursing (Observation-group). Vital signs indicators, stress response levels, Boston bowel preparation score, State-Trait Anxiety Inventory-State (STAI-S), State-Trait Anxiety Inventory-Trait (STAI-T) score, incidence of adverse events, and nursing satisfaction were assessed and compared between the two groups.
Vital signs of the patients in the Observation-group were more stable than those of the Control-group 15 minutes and 30 minutes after the endoscopic inspection (<0.05). After the procedure, stress response of the Observation-group was significantly milder than that of the Control-group (<0.05). The Boston bowel preparation score in the Observation-group was significantly higher (<0.05), while STAI-S and STAI-T scores were significantly lower than those in the Control-group (<0.05). Implementing risk prevention management based on Heinrich's Law was associated with significantly lower incidence of adverse events (<0.05), and markedly higher nursing satisfaction (<0.05).
Adopting a risk prevention management model based on Heinrich's Law for elderly patients undergoing DE can stabilize vital signs, alleviate anxiety, reduce the risk of adverse events, and increase patient satisfaction in this vulnerable group.
探讨基于海因里希法则的风险预防管理在老年消化内镜检查（DE）患者护理中的效果。
本回顾性研究收集了2021年4月至2023年9月在海安市中医医院接受DE的182例老年患者的临床资料。其中89例患者接受常规护理（对照组），93例患者在常规护理基础上接受基于海因里希法则的风险预防管理（观察组）。评估并比较两组患者的生命体征指标、应激反应水平、波士顿肠道准备评分、状态-特质焦虑量表-状态（STAI-S）、状态-特质焦虑量表-特质（STAI-T）评分、不良事件发生率及护理满意度。
内镜检查后15分钟和30分钟，观察组患者的生命体征比对照组更稳定（<0.05）。术后，观察组的应激反应明显比对照组轻（<0.05）。观察组的波士顿肠道准备评分明显更高（<0.05），而STAI-S和STAI-T评分明显低于对照组（<0.05）。基于海因里希法则实施风险预防管理与明显更低的不良事件发生率相关（<0.05），且护理满意度明显更高（<0.05）。
对接受DE的老年患者采用基于海因里希法则的风险预防管理模式，可稳定生命体征，缓解焦虑，降低不良事件风险，并提高这一弱势群体的患者满意度。
