心理护理在球囊扩张术治疗环咽肌失弛缓症中的疗效观察  

Effect of Psychological Care and Balloon Catheter Dilation Techniques in Treatment of Cricopharyngeal Achalasia

作　　者：张德琳[1] 梁梅娟[1] 栾玉民[1] 丁桃[1] 

机构地区：[1]昆明医科大学第一附属医院,云南昆明650032

出　　处：《昆明医科大学学报》2015年第7期181-184,共4页Journal of Kunming Medical University

基　　金：云南省科技厅-昆明医科大学联合专项基金资助项目(2014C054Y)

摘　　要：目的探讨康复心理护理干预对球囊管扩张术在环咽肌失弛缓症治疗中的应用效果.方法选取环咽肌失弛缓症患者62人,随机分为观察组32例,对照组30例,2组均使用球囊扩张术,观察组加用康复心理护理干预,以吞咽功能、焦虑和抑郁评分评定疗效.结果治疗后,观察组吞咽功能、焦虑或抑郁改善显著均优于对照组(P<0.05).结论在球囊扩张术治疗环咽肌失弛缓症时应用康复心理护理干预,能建立很好的护患关系,提高患者的依从性,更有利于患者吞咽功能障碍的改善.Objective To observe the effect of psychological care and balloon catheter dilation techniques in treatment of cricopharyngeal achalasia. Methods 62 patients with cricopharyngeal aehalasia were divided into experimental group （n =32） and control group （n =30）. Patients in both groups were given balloon catheter dilation treatment. Patients in experimental group were treated with psychological care in addition. The severity of dysphagia was assessed by function of deglutition, and psychological assessment was evaluated with HAMA and HAMD. Results After intervention, swallowing function, anxiety and depression symtoms were improved much more in the experimental group than those in the control group （P〈0.05）. Conclusions The balloon catheter dilation technique combined with psychological care can significantly eatablish good nurse-patient relationship, and improve the patient compliance and swallowing function of patients with cricopharyngeal achalasia.

关 键 词：环咽肌失弛缓症 心理护理 球囊扩张术 

分 类 号：R473.3[医药卫生—护理学]