心理护理干预对ERCP手术患者情绪及治疗的影响分析  

Effects of psychological nursing intervention on preoperative emotion and therapeutic effects in patients undergoing ERCP operation

作　　者：张丽君[1] 许文达[1] 闫俊芬[1] ZHANG Lijun;XU Wenda;YAN Junfen(Department of Gastroenterology,No. 81 Hospital of Army Group of PLA,Hebei, Zhangjiakou 075000,China)

机构地区：[1]中国人民解放军陆军第八十一集团军医院消化内科

出　　处：《河北医药》2020年第3期474-477,共4页Hebei Medical Journal

摘　　要：目的分析心理护理干预对内镜下逆行胰胆管造影(ERCP)患者围手术期情绪及治疗的影响。方法选取2017年1~12月78例行ERCP手术的患者,随机分为常规护理组和心理干预组,每组39例。常规护理组给予常规护理措施,心理干预组在常规护理的基础上给予心理护理干预。通过焦虑自评量表(self-rating anxiety scale,SAS)及抑郁自评量表(self-rating depression scale,SDS),分析比较2组患者焦虑评分和抑郁评分。结果护理前问卷调查结果显示,患者出现焦虑情绪37例(94.87%),其中重度焦虑7例(17.95%);所有患者均出现不同程度抑郁情绪,其中为重度抑郁3例(7.69%),护理后,均无重度焦虑、抑郁情绪的患者。2组患者护理前SAS、SDS评分比较,差异无统计学意义(P>0.05);护理后,心理干预组SAS、SDS评分明显低于常规护理组,差异有统计学意义(P<0.05)。2组术后胰腺炎、胆道感染、出血发生率比较,差异均无统计学意义(P>0.05)。心理干预组并发症总发生率显著低于常规护理组,差异均有统计学意义(P<0.05)。心理干预组平均住院天数明显低于常规护理组,差异有统计学意义(P<0.05)。结论对ERCP患者给予心理护理干预,有助于缓解患者的内心压力,能够有效减少ERCP手术给患者带来的负面情绪,有效提高患者依从性,利于治疗的顺利完成,同时心理护理干预可降低术后并发症的发生率及缩短平均住院时间,提高患者满意度。Objective To investigate the effects of psychological nursing intervention on preoperative emotion and therapeutic effects in patients undergoing endoscopic retrograde cholangiopancreatography(ERCP)operation.Methods A total of 78 patients who underwent ERCP in our hospital were randomly divided into control group and observation group,with 39 cases in each group.The patients in contral group were treated by conventional nursing measures,however,the patients in observation group,on the basis of conventional nursing,were treated by psychological nursing intervention.After the nursing intervention,the SAS score and SDS score were observed and compared between the two groups.Moreover the incidence of complications and the hospital stay were observed and compared between the two groups.Results Before the nursing intervention,the questionnaire results showed that 37 patients(94.87%)had anxiety,of whom,7 patients(17.95%)were severely anxious.All the patients had different degrees of depression,of whom,3 patients(7.69%)had severe depression.After the nursing intervention,the questionnaire results showed that no patients had severe anxiety or depression.Before the nursing intervention,there were no significant differences in SAS scores and SDS scores between the two groups(P>0.05).After the nursing intervention,the SAS scores and SDS scores in observation group were significantly lower than those in control group(P<0.05).After surgery there were no significant differences in the incidence rates of postoperative pancreatitis,biliary tract infection and hemorrhage between the two groups(P>0.05).However the total incidence rate of complications in observation group was significantly lower than that in control group(P<0.05).Moreover average length of hospital stay in observation group was significantly shorter than that in control group(P<0.05).Conclusion The psychological nursing intervention is conducive to relieving the mental pressure of patients who undergo ERCP,which can can effectively decrease the negative emotion duw

关 键 词：心理护理 内镜下逆行胰胆管造影 情绪 治疗结果 

分 类 号：R473.5[医药卫生—护理学]