Effect of targeted guidance based on SHEL risk assessment model on stress response and compliance of patients undergoing gastrointestinal endoscopy
10.3969/j.issn.1009-0754.2024.07.018
- VernacularTitle:基于SHEL风险评估模型的针对性引导对消化内镜检查患者应激反应与配合度的影响
- Author:
Yuping WANG
1
;
Lin CHEN
;
Lingyun LYU
;
Zhiping WANG
Author Information
1. 200433 上海,海军军医大学第一附属医院健康管理中心
- Keywords:
Gastrointestinal endoscopy;
SHEL risk assessment model;
Targeted guidance;
Psychological stress;
Patient compliance
- From:
Journal of Navy Medicine
2024;45(7):756-760
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of targeted guidance based on the SHEL risk assessment model on stress response and compliance of patients undergoing gastrointestinal endoscopy.Methods A total of 92 patients who underwent gastrointestinal endoscopy at the Health Management Centre of The First Affiliated Hospital of Naval Medical University from January to December 2022 were selected as research objects.They were divided into two groups according to the time of admission and the nursing method used,with 46 cases in each group.The control group received conventional care,and the observation group was given targeted guidance based on the SHEL risk assessment model besides conventional care.The heart rate,blood pressure,psychological status,degree of cooperation,and pain rate were compared between two groups.Results The increases in heart rate,diastolic blood pressure and systolic blood pressure in the observation group were less than those in the control group during the examination(all P<0.05).After the examination,the scores of the Self Rating Anxiety Scale(SAS-CR)and Self Rating Depression Scale(SDS)in the observation group were significantly lower than those in the control group;the degree of patient compliance in the observation group was significantly higher than that in the control group;and the proportion of patients with discomfort in the observation group was lower than that in the control group(all P<0.05).Conclusion Targeted guidance based on the SHEL risk assessment model can alleviate physiological and psychological stress reactions and improve patient compliance during gastrointestinal endoscopy.
