加热治疗对硬性膀胱镜检查患者疼痛、焦虑、生理指标和满意度的影响

Impact of Heating Treatment on Pain, Anxiety, Vital Signs and Satisfaction in Rigid Cystoscopy Patients

摘要: 目的：探讨加热治疗对硬性膀胱镜检查患者疼痛、焦虑、生理指标和满意度的影响。方法：将123例择期行硬性膀胱镜检查的患者随机分为加热组(62例)和对照组(61例)。加热组在检查前30分钟使用加热毯覆盖下腹部，对照组使用不加热毯。检查前后分别评估两组患者的疼痛程度(采用疼痛数字等级评定量表)、焦虑水平(采用状态焦虑量表)、血压、心率和满意度(采用视觉模拟评分法)。结果：加热组的患者检查时疼痛程度、焦虑水平、血压和心率均低于对照组(P < 0.05)，满意度高于对照组(P < 0.05)。结论：加热治疗可以有效降低硬性膀胱镜检查患者的疼痛、焦虑、血压和心率，提高患者的满意度，是一种简便、安全、有效的舒适护理方法。

Abstract: Objective: To evaluate the impact of heating therapy on pain, anxiety, vital signs and satisfaction in patients who underwent rigid cystoscopy. Methods: We randomly assigned 123 patients scheduled for elective rigid cystoscopy to a heated group (62 patients) or a control group (61 patients). The heated group received a heated blanket over the lower abdomen 30 minutes before the procedure, while the control group received an unheated blanket. We measured pain level (using the Pain Numerical Rating Scale), anxiety level (using the State-Trait Anxiety Inventory-State), blood pressure, heart rate and satisfaction (using the Visual Analog Scale) before and after the procedure in both groups. Results: The heated group had lower pain level, anxiety level, blood pressure and heart rate than the control group after the procedure (P < 0.05), and higher satisfaction than the control group (P < 0.05). Conclusion: Heating therapy can effectively alleviate pain, anxiety, blood pressure and heart rate in patients who underwent rigid cystoscopy and enhance patient satisfaction. It is a simple, safe and effective comfort care method.