影响视频脑电图监测的床旁陪护行为探讨

【】　目的　分析床旁陪护行为对视频脑电图的影响，总结护理指导的意义。　方法　2008年7-9月对214例患者行24h视频脑电图监测（videoEEG，VEEG）监测，每例患者留一床旁陪护。重点观察坐床沿或同睡、用手机、拍打及按摩行为，并比较初次及再次护理指导后上述行为发生情况。　结果　坐床沿或同睡、用手机、拍打、按摩均可影响VEEG，初次指导后以上行为出现率分别为62.6%、55.1%、30.4%、20.1%；再次指导后以上行为分别减少78.4%、75.4%、78.5%、79.1%，VEEG监测质量均有提高。　结论　应将规范床旁陪护行为的指导贯穿于VEEG监测的全过程。【Abstract】　Objective　Toassesstheimpactsofbedsideaccompanybehavioronthequalityofvideo-electroencephalography(VEEG).　Methods　Atotalof214patientsunderwent24-hourVEEGmonitoringfromJulytoSeptember2008.Eachpatienthadabedside-accompanyfamilymember.Thebehaviorsofaccompanyincludedsittingatthebed,usingmobilephone,clapping,andkneadingthepatients,whichwereevaluatedafterthefirstandsecondnursingeducation.　Results　Sittingatthebed,usingmobilephone,clapping,andkneadingthepatientsinfluencedthequalityofVEEG.Afterthefirsteducation,theoccurrencesoftheaboveunfavorablebehaviorswere62.3%,55.1%,30.4%,and20.1%.Afterthesecondeducation,theunfavorablebehaviorsreduced78.4%,75.4%,78.5%,and79.1%respectively;theVEEGqualityimproved.　Conclusion　ProperbedsideaccompanybehaviormayimprovethequalityofVEEGmonitoring.