个体化心理干预在胃镜检查中的应用  

Application of individualized psychological intervention in gastroscopy

作　　者：沈洁[1] 马娅梅[1] 王晓华[1] 

机构地区：[1]南方医科大学附属中山小榄医院胃镜室,广东省中山528415

出　　处：《中国基层医药》2010年第20期2775-2777,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨个体化心理干预措施在胃镜检查中的作用.方法 将286例初次接受胃镜检查的患者随机分为干预组和对照组,每组各143例.对照组采取常规处理,干预组在常规处理的基础上采用个体化心理干预.采用焦虑自评量表（SAS）对两组患者干预前后的焦虑状况进行测定并比较,同时对两组患者干预前后的血压及心率变化进行比较.术后通过视觉模拟评分法（VAS）进行调查,了解两组患者对此次检查的满意度.结果 干预组的焦虑发生率及程度,与对照组相比,差异有统计学意义（P＜0.05）.干预组血压及心率变化均明显低于对照组（P＜0.05）.术后视觉模拟评分调查结果显示,干预组的满意度明显高于对照组（P＜0.05）.结论 对胃镜检查患者术前实施有针对性的个体化心理干预,可有效改善患者术前及术后的负性情绪,减轻其心理症状,提高患者检查的满意度.Objective To investigate the role of individualized psychological intervention in gastroscopy.Methods 286 patients first underwent gastroscopy were randomly divided into the intervention and control groups,143 patients in each group. Individualized psychological intervention were provided for intervention group,and the patients of control group were just given routine nursing care. All the patients were measured by self rating anxiety scale （SAS） ,which were as measuring standards before and after intervention. At the same time,the blood pressure and heart rate were compared before and after intervention. Visual analogue scale （VAS） was observed to investigate the satisfaction of patients after operation. Results Compared with control group,anxiety rate and degree,blood pressure and heart rate in intervention group were lower（ P ＜ 0. 05 ）. The test of VAS revealed that the satisfaction of patients in intervention group was significantly higher than that in control group （ P ＜ 0. 05）. Conclusion Individualized psychological intervention could improve negative emotion and relieve anxiety and affliction of patients underwent gastroscopy, and the satisfaction degree for gastroscopy was improved.

关 键 词：胃镜 心理干预 焦虑 

分 类 号：R473[医药卫生—护理学]