提前心理疏导对无痛麻醉下胃肠镜检查患儿负面情绪、遵医行为的影响  

Effect of psychological counseling in advance on negative emotions and compliance behavior of children undergoing gastrointestinal endoscopy under painless anesthesia

作　　者：王杰 徐飞飞 刘云 谢栋 WANG Jie;XU Feifei;LIU Yun(Department of Pediatrics,Fuyang People’s Hospital,Anhui,Fuyang 236000,China)

机构地区：[1]安徽省阜阳市人民医院儿科,236000 [2]安徽省阜阳市人民医院体制改革科,236000

出　　处：《河北医药》2023年第13期2016-2018,2023,共4页Hebei Medical Journal

摘　　要：目的探讨提前心理疏导干预方法与无痛麻醉下胃肠镜检查患儿的效果。方法选取2021年5月1日至2022年6月14日无痛麻醉下接受胃肠镜检查患儿120例,简单随机方法将患儿分为观察组与对照组,每组60例。对照组按照常规方法处理,不接受提前心理疏导;观察组按照常规处理方法上接受提前心理疏导。收集患儿检查期间的负面情绪和遵医行为情况,其中负性情绪状态使用CMFS及SAS、SDS量表评估,对比2组患儿的检查配合率、遵医率,比较患儿家长的满意度情况。结果观察组患儿CMFS及SAS、SDS量表得分显著优于对照组(P<0.05);观察组患儿的检查配合率和遵医率略高于对照组,但差异无统计学意义(P>0.05)。观察组患儿家长的满意率显著高于对照组(P<0.05)。结论提前进行心理疏导,对于即将接受有创胃肠镜检查的儿童患者,具有积极作用,可以有效缓解患儿的负性情绪出现,提高患儿配合率和遵医率,受到患儿和家长的认可,值得广泛推广。Objective To explore the effect of psychological counseling intervention in advance on negative emotions and compliance behavior of children undergoing gastrointestinal endoscopy under painless anesthesia.Methods A total of 120 children who received gastrointestinal endoscopy under painless anesthesia in our hospital from May 1,2021 to June 14,2022 were enrolled in the study.They were randomly divided into observation group(n=60)and control group(n=60).All recruited children were managed by conventional treatment,and those in the observation group were intervened by psychological counseling in advance.Negative emotion and compliance behavior information of the children during the examination were recorded,and the former was evaluated using the Child Medical Fear Scale(CMFS),Self-graded Anxiety Scale(SAS)and Self-graded Depression Scale(SDS).The examination cooperation rate,compliance rate and satisfaction of patients were compared between groups.Results The scores of CMFS,SAS and SDS in the observation group were significantly higher than those in the control group(P<0.05).The examination cooperation rate and compliance rate of children in the observation group were also higher than those in the control group,although no significant differences were detected(P>0.05).The satisfaction rate of parents in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Psychological counseling in advance has a positive effect on children who prepare to receive invasive gastrointestinal endoscopy,which can effectively alleviate the negative emotions of children,and further improve the cooperation rate and compliance rate.It is well recognized by children and parents,and deserves clinical application.

关 键 词：心理疏导 无痛麻醉 胃肠镜检查 儿科 负面情绪 遵医行为 

分 类 号：R473.72[医药卫生—护理学]