目的:研究消化内镜检查患者患者心理应激反应与综合护理管理干预方案。方法:选取舟山医院2013年12月~2014年12月100例消化内镜检查患者以随机数表法随机分为实验组与对照组各50例,对照组患者给予消化内镜检查的基础心理疏导及护理;实验组设健康专员负责对其在对照组的基础上进行健康教育、心理疏导和护理干预,健康专员通过与患者的沟通分析评定患者的心理水平、不良状况及综合自身情况,针对患者情况进行心理疏导与护理干预。干预前后医生指导两组患者自行填写焦虑自评量表和抑郁自评量表,检查前由医护人员对患者治疗依从性与积极性进行综合评定,检查时测量患者的血压情况。结果:实验组患者的情绪状况显著优于对照组,差异具有统计学意义(P<0.05);实验组患者血压情况明显优于对照组,差异具有统计学意义(P<0.05);实验组患者的治疗依从性和积极性明显优于对照组,差异具有统计学意义(P<0.05)。结论:对于消化内镜检查患者应当加强护患沟通,采取针对性的护理干预措施,能显著改善患者的心理状态,消除患者的不适感,提高患者的依从性与积极性,保证消化内镜的检查质量及安全度。 Objective: To study the psychological stress response and comprehensive nursing intervention in patients with digestive endoscopy. Methods: 100 patients with digestive endoscopy in Zhoushan Hospital from December 2013 to December 2014 were randomly divided into experimental group and control group with 50 cases in random number table. Patients in control group were given basic psychological counseling And nursing; experimental group with health commissioner is responsible for its health education, psychological counseling and nursing intervention on the basis of the control group, health professionals through analysis and evaluation of patients with the patient’s psychological level, adverse conditions and their own situation, for patients The situation of psychological counseling and nursing intervention. Before and after the intervention, the doctors instructed the two groups of patients to fill in the self-rating anxiety scale and the self-rating depression scale by themselves. Before the inspection, the medical staffs comprehensively assessed the patients ’compliance and enthusiasm for treatment. During the examination, the patients’ blood pressure was measured. Results: The emotional status of the experimental group was significantly better than that of the control group (P <0.05). The blood pressure of the experimental group was significantly better than that of the control group (P <0.05) The treatment compliance and enthusiasm were significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: For patients with digestive endoscopy, nurse-patient communication should be strengthened and targeted nursing interventions should be taken to significantly improve the patient’s psychological status, eliminate the patient’s discomfort, improve patient compliance and enthusiasm, and ensure the digestive endoscopy Quality and safety.