认知行为干预对呼吸内镜治疗病人心理应激反应及治疗依从性的影响  

Effect of cognitive-behavioral intervention on psychological stress response and check compliance of patients undergoing respiratory endoscopy

作　　者：张杨[1] 田竟[1] 张敬如 李敏[1] 鲁钰莹 李广玲[1] 张红梅[1] 尚茜[1] ZHANG Yang;TIAN Jing;ZHANG Jingru;LI Min;LU Yuying;LI Guangling;ZHANG Hongmei(Henan Provincial People′s Hospital,Henan 450003 China)

机构地区：[1]河南省人民医院,450003

出　　处：《全科护理》2020年第24期3120-3122,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨认知行为干预对呼吸内镜治疗病人的心理应激反应及治疗依从性的影响。[方法]选取行呼吸内镜治疗病人92例,根据随机数字表法将病人分为观察组及对照组各46例,对照组检查期间行常规性护理干预,观察组检查期间行认知行为干预,比较两组干预前后心理应激反应、负性情绪及治疗依从性。[结果]干预后观察组心率(HR)、收缩压(SBP)、舒张压(DBP)显著低于对照组(P<0.05)。干预后观察组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均低于对照组(P<0.05)。观察组一次检查成功率、治疗依从率、病人满意率高于对照组(P<0.05),而并发症发生率低于对照组(P<0.05)。[结论]认知行为干预能有效减轻呼吸内镜检查病人应激反应及不良情绪,提高病人检查依从性,降低病人检查并发症,提高病人治疗满意率。Objective:To explore the effect of the cognitive-behavioral intervention on the psychological stress response and treatment compliance of patients treated with respiratory endoscopy.Methods:A total of 92 patients undergoing respiratory endoscopy were divided into the observation group and the control group,46 cases in each according to the random number table method.The patients in control group received routine nursing intervention during the examination,and the patients in observation group received cognitive behavior intervention during the examination.Then the psychological stress responses,negative emotion,and treatment compliance were compared between both groups before and after the intervention.Results:After the intervention,the heart rate(HR),systolic blood pressure(SBP),and diastolic blood pressure(DBP)of patients in the observation group were significantly lower than those in the control group(P<0.05).After the intervention,the Hamilton Depression Rating Scale(HAMD)and the Hamilton Depression Rating Scale(HAMA)scores in observation group were lower than those in control group(P<0.05).The one-time check-up success rate,treatment compliance rate,and patient satisfaction rate of patients in observation group were higher than those in the control group(P<0.05),while the incidence of complications was lower than that in control group(P<0.05).Conclusions:Cognitive behavior intervention could effectively reduce the stress responses and adverse emotions of patients undergoing respiratory endoscopy,improve treatment compliance,reduce complications and improve satisfaction rate.

关 键 词：认知行为干预 呼吸内镜 心理应激反应 治疗依从性 满意率 

分 类 号：R473.5[医药卫生—护理学]