人文关怀干预对消化内镜检查患者负性情绪及生理应激反应的影响  

Effects of humanistic care intervention on negative emotion and physiological stress response of patients undergoing digestive endoscopy

作　　者：沙嫚 陈宁 宋静华 王娟 SHA Man;CHEN Ning;SONG Jinghua(Department of Digestive endoscopy,Henan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院消化内镜中心,河南省护理医学重点实验室,郑州大学人民医院,郑州450000

出　　处：《中国健康心理学杂志》2022年第8期1153-1158,共6页China Journal of Health Psychology

摘　　要：目的:分析人文关怀干预对消化内镜检查患者负性情绪及生理应激反应的影响。方法:选取2020年6月-2021年6月某院收治的300例消化内镜检查患者,按照入院先后随机分为对照组和研究组,每组各150例。对照组采取常规护理干预,研究组采取人文关怀干预。对比两组患者消化内镜检查前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生理应激反应[心率(HR)、呼吸频率(RR)、舒张压(DBP)、收缩压(SBP)]、检查后疼痛等级、检查效果、不良反应及护理满意度。结果:检查前,两组SAS、SAD评分无明显差异(P>0.05);检查后,两组SAS、SAD评分均低于干预前(P<0.05),且研究组SAS、SAD评分均低于对照组(t=-11.508,-9.205;P<0.05);检查前,研究组HR、RR、DBP、SBP指标水平均低于对照组(P<0.05);检查后,两组RR水平均低于检查前(P<0.05),且研究组均低于对照组(t=-25.461,P<0.05);两组HR、SBP、DBP水平均升高(P<0.05),且研究组均低于对照组(t=-11.514,-5.048,-13.402;P<0.05);检查后,研究组大多数为轻度疼痛(50.00%),对照组则为中度疼痛(40.00%,P<0.05);研究组胃部舒张良好、咽部顺利通过及检查一次成功率均高于对照组的(χ^(2)=9.730,8.491,11.862;P<0.05);咽部疼痛例数少于对照组(χ^(2)=8.491,P<0.05);研究组恶心、腹痛腹胀、呛咳等不良反应及不良反应总发生率均低于对照组(12.67%vs 35.33%,χ^(2)=21.130,P<0.05);研究组满意度为96.00%(144/150),明显高于对照组的76.00%(114/150)(χ^(2)=24.921,P<0.05)。结论:人文关怀干预有利于改善消化内镜检查患者负性情绪,恢复其心理健康,减轻生理应激反应,提高检查效果,减少不良反应发生率,提高护理满意度。Objective:To analyze the effects of humanistic care intervention on negative emotion and physiological stress response of patients undergoing digestive endoscopy.Methods:A total of 300 patients with digestive endoscopy admitted to our hospital from June 2020 to June 2021 were randomly divided into control group and study group according to the time of admission,with 150 cases in each group.The control group took routine nursing intervention,the study group took humanistic care intervention.Negative emotion[SELF-rating Anxiety Scale(SAS),self-rating depression Scale(SDS)],physiological stress response[heart rate(HR),respiratory rate(RR),diastolic blood pressure(DBP),systolic blood pressure(SBP)],pain grade,examination effect,adverse reactions and nursing satisfaction were compared between 2 groups before and after digestive endoscopy.Results:Before examination,there were no significant differences in SAS and SAD scores between two groups(P>0.05).After examination,SAS and SAD scores in both groups were lower than before intervention(P<0.05),and SAS and SAD scores in the study group were lower than those in the control group(t=-11.508,-9.205;P<0.05).Before examination,the levels of HR,RR,DBP and SBP in the study group were lower than those in the control group(P<0.05).After examination,RR levels in both groups were lower than before(P<0.05),and RR levels in study group were lower than control group(t=-25.461,P<0.05).The levels of HR,SBP and DBP in both groups were increased(P<0.05),and those in the study group were lower than those in the control group(t=-11.514,-5.048,-13.402;P<0.05).After examination,most patients in the study group had mild pain(50.00%)and moderate pain in the control group(40.00%,P<0.05).Good gastric dilation,smooth passage of pharynx and the success rate of one examination in the study group were higher than those in the control group(χ^(2)=9.730,8.491,11.862;ALL P<0.05).The number of cases with pharyngeal pain was less than that of control group(χ^(2)=8.491,P<0.05).The incidence of nausea,ab

关 键 词：人文关怀干预 消化内镜检查 负性情绪 心理健康 生理应激反应 

分 类 号：R395.9[哲学宗教—心理学]