聚焦解决模式下的心理干预对电子内镜患者心理状态和遵医行为的影响  

Influence of psychological intervention under focused solution mode on the psychological state and compliance behavior of patients with electronic endoscopy

作　　者：许优[1] XU You(Department of Digestive Endoscopy,Pingxiang People's Hospital,Jiangxi Province,Pingxiang337000,China)

机构地区：[1]江西省萍乡市人民医院消化内镜室,江西萍乡337000

出　　处：《中国当代医药》2023年第14期172-175,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212149)。

摘　　要：目的探讨聚焦解决模式下的心理干预在电子内镜患者中的应用效果。方法选取2020年8月至2022年8月萍乡市人民医院接受电子内镜检查的92例患者作为研究对象,采用随机数字表法将其分为对照组(46例)和干预组(46例),对照组行常规护理方法,干预组行聚焦解决模式下的心理干预。比较两组患者的心理状态、生理指标、检查时间以及遵医行为。结果两组患者护理前的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的SAS、SDS评分均低于本组护理前,且干预组的SAS为(48.87±3.02)分、SDS为(46.67±2.92)分,均低于对照组,差异有统计学意义(P<0.05)。干预组的脉搏为(82.25±3.06)次/min、收缩压为(118.84±10.21)mmHg、舒张压为(72.26±6.49)mmHg、心率为(85.57±3.19)次/min,均低于对照组,差异有统计学意义(P<0.05);干预组的检查时间为(11.29±2.08)min,短于对照组,差异有统计学意义(P<0.05)。干预组遵医率为95.65%(44/46),高于对照组的82.61%(38/46),差异有统计学意义(P<0.05)。结论电子内镜患者接受聚焦解决模式下的心理干预,可缓解患者不良心理状态,降低生理应激反应,提高患者遵医行为,从而更好地保证检查效果和检查效率。Objective To explore the effects of psychological intervention under solution focused approach in patients with electronic endoscopy.Methods A total of 92 patients who underwent electronic endoscopy in Pingxiang People's Hospital from August 2020 to August 2022 were selected as the research objects,and they were divided into the control group(46 cases)and the intervention group(46 cases)by random number table method.The control group received routine nursing methods,and the intervention group received psychological intervention under the solution focused approach.The psychological state,physiological indexes,examination time and compliance behavior of the two groups were compared.Results There were no statistically significant differences in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups before nursing(P>0.05).After nursing,the SAS and SDS scores of the two groups were lower than those before nursing,and the SAS and SDS scores of the intervention group were(48.87±3.02)points and(46.67±2.92)points,which were lower than those of the control group,and the differences were statistically significant(P<0.05).The pulse,systolic blood pressure,diastolic blood pressure and heart rate of the intervention group were(82.25±3.06)times/min,(118.84±10.21)mmHg,(72.26±6.49)mmHg and(85.57±3.19)times/min,which were lower than those of the control group,with statistically significant differences(P<0.05).And the examination time of the intervention group was(11.29±2.08)min,which was shorter than that of the control group,with a statistically significant difference(P<0.05).The compliance rate of the intervention group was 95.65%(44/46),which was higher than 82.61%(38/46)of the control group,and the difference was statistically significant(P<0.05).Conclusion The psychological intervention under solution-focused approach for patients with electronic endoscopy can alleviate the adverse mental state of patients,reduce the physiological stress response,and improve the complian

关 键 词：电子内镜 聚焦解决模式 心理干预 心理状态 生理指标 检查时间 遵医行为 

分 类 号：R473.5[医药卫生—护理学]