激励式心理干预联合饮食指导在急性上消化道出血患者药物治疗期间的应用效果  

Application of Motivational Psychological Intervention Combined with Dietary Guidance in Patients with Acute Upper Gastrointestinal Bleeding Treated with Somatostatin Therapy

作　　者：温梦丽 苗晶晶 秦宝山 WEN Mengli;MIAO Jingjing;QIN Baoshan(Henan University of Traditional Chinese Medicine Fifth Clinical Medical College/Zhengzhou People’s Hospital,Henan 450000,Zhengzhou,China)

机构地区：[1]河南中医药大学第五临床医学院/郑州人民医院,河南郑州450000

出　　处：《中国药物滥用防治杂志》2024年第4期681-684,689,共5页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南医学科技公关联合共建项目(编号:LHGJ20220780)。

摘　　要：目的:探讨激励式心理干预联合饮食指导在急性上消化道出血生长抑素治疗患者中的应用。方法:回顾性分析医院2021年1月—2023年8月期间常规治疗+生长抑素治疗的急性上消化道出血87例患者资料,患者均接受饮食指导,其中43例接受常规心理护理的患者纳入对照组,44例接受激励式心理干预的患者纳入观察组。比较两组疾病恢复情况、营养状况[血红蛋白(HB)、血浆白蛋白(Alb)、前白蛋白(PAB)水平]、负面情绪状况[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评估]及依从性。结果:护理后,观察组止血时间、住院时间短于对照组(P<0.05);观察组HAMA评分、HAMD评分低于对照组(P<0.05);观察组Hb、Alb、PAB水平高于对照组(P<0.05);观察组总依从率高于对照组(P<0.05)。结论:急性上消化道出血生长抑素治疗期间,开展激励式心理干预联合饮食指导,可改善患者营养状况与依从性,缓解患者负面情绪的同时实现短期止血。Objective:To explore the application of motivational psychological intervention combined with dietary guidance in patients with acute upper gastrointestinal bleeding treated with somatostatin.Methods:A retrospective analysis of 87 patients with acute upper gastrointestinal bleeding treated with routine treatment+somatostatin treatment in the hospital from January 2021 to August 2023 was conducted.All patients received dietary guidance.Among them,43 patients who received routine psychological care were included in the control group,and 44 patients who received motivational psychological intervention were included in the observation group.The disease recovery,nutritional status[hemoglobin(HB),plasma albumin(Alb),prealbumin(PAB)levels],negative emotional status[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)]and compliance were compared between the two groups.Results:After nursing,the hemostasis time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The HAMA score and HAMD score of the observation group were lower than those of the control group(P<0.05).The levels of Hb,Alb and PAB in the observation group were higher than those in the control group(P<0.05).The total compliance rate of the observation group was higher than that of the control group(P<0.05).Conclusion:During the nursing period of patients with acute upper gastrointestinal bleeding treated with somatostatin,motivational psychological intervention combined with dietary guidance not only helps to improve the patient’s nutritional status and alleviate negative emotions,but also enhances patient compliance,achieves hemostasis in a short period of time.

关 键 词：急性上消化道出血 生长抑素 激励式心理干预 饮食指导 心理状况 营养 

分 类 号：R473.5[医药卫生—护理学]