心理行为干预对颈内静脉插管患者的影响  

Effect of psychological and behavioral intervention on patients undergoing internal jugular vein catheterization

作　　者：崔玉光[1] 

机构地区：[1]内蒙古医科大学附属人民医院,呼和浩特市010020

出　　处：《职业与健康》2012年第23期2993-2994,共2页Occupation and Health

摘　　要：目的探讨在颈内静脉插管过程中应用心理行为干预对患者的影响。方法 64例经颈内静脉插管进行血液透析的患者,随机分设为干预组和对照组,每组32例。在操作过程中对照组只进行常规护理和指导。干预组在实施常规护理的基础上,给予心理行为的干预。制定出心理行为干预的目标、实施有效的心理干预。干预内容包括认知干预,心理干预及行为干预。完成后对2组患者进行比较。结果干预组与对照组插管成功率分别为90.62%和31.25%,差异有统计学意义(χ2=23.70,P<0.01)。干预组有效应对插管过程中出现的不良反应的能力高于对照组,差异有统计学意义(χ2=18.22,P<0.01)。结论有效的心理行为干预使患者对插管有了正确的认识,强化了遵医行为,减轻了患者插管过程中的紧张心理,提高了患者对插管所致不适的应对能力,减少了不良反应的发生,提高了对医护人员的满意度及一次性插管的成功率。[Objective]To discuss the effect of psychological and behavioral intervention in the process of internal jugular vein catheterization.[Methods]64 patients received hemodialysis by internal jugular vein catheterization were randomly divided into the intervention group and the control group,32 cases in each group.[Results]During the operating process,the control group was given routine care and guidance only.On the basis of routine care,the intervention group was given psychological and behavioral intervention.The target of psychological and behavioral intervention was developed to implement effective psychological intervention.The intervention content included cognitive intervention,psychological intervention and behavioral intervention.The effect of two groups was compared.The success rate of catheterization in the intervention group and the control group was 90.62% and 31.25% respectively,and the difference was significant（χ2=23.70,P0.01）.The ability in dealing with adverse reactions during the operating process of the intervention group was significantly higher than that of the control group（χ2=18.22,P0.01）.[Conclusion]The effective psychological and behavioral intervention can improve the correct understanding of catheterization among patients,strengthen the compliance,reduce the patients＇ psychological stress during the operating process,improve the patients＇ ability in dealing with discomfort caused by catheterization,reduce the incidence rate of adverse reactions,and enhance the satisfaction toward medical staff and the success rate of initial intubation.

关 键 词：心理行为干预 颈内静脉插管 血液透析 

分 类 号：R749.059[医药卫生—神经病学与精神病学]