焦点解决模式对胃息肉内镜下黏膜切除术后病人胃肠功能及焦虑和抑郁情绪的影响  

Effect of solution-focused approach on gastrointestinal function, anxiety, and depression in patients after endoscopic mucosal resection of gastric polyps

作　　者：陈彬 张志强[1] 王惠琴[1] CHEN Bin;ZHANG Zhiqiang;WANG Huiqin(Endoscopy Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院内镜中心,新疆乌鲁木齐830054

出　　处：《青岛大学学报（医学版）》2024年第3期451-454,共4页Journal of Qingdao University(Medical Sciences)

基　　金：新疆维吾尔自治区科技厅项目(2022TSYCTD00-18)。

摘　　要：目的 探究焦点解决模式对胃息肉内镜下黏膜切除(EMR)术后病人胃肠功能及焦虑、抑郁情绪的影响。方法 收集2022年5月-2023年5月于我院就诊的EMR术后病人90例,根据干预方式分组,对照组给予常规护理,干预组给予焦点解决模式护理,每组45例病人。比较两组病人术后康复时间、焦虑抑郁情绪、自我感受负担、并发症及护理满意度指标。结果 干预后,两组禁食时间、排气时间、肠鸣音恢复时间、术后住院时间、焦虑自评量表评分、抑郁自评量表评分及自我感受负担评分均下降(Z=2.032~4.213,t=2.991~22.922,P<0.05),且干预组低于对照组(Z=1.965~3.678,t=2.541~12.414,P<0.05)。干预组感染并发症发生率低于对照组(χ^(2)=4.444,P<0.05),护理满意度高于对照组(Z=3.510,P<0.05)。结论 焦点解决模式的应用有助于胃息肉EMR术后病人恢复胃肠功能,缓解焦虑和抑郁的负面情绪,提升护理体验感。Objective To investigate the effect of solution-focused approach on gastrointestinal function,anxiety,and depression in patients after endoscopic mucosal resection(EMR)of gastric polyps.Methods A total of 90 patients who attended our hospital after EMR from May 2022 to May 2023 were enrolled and divided into control group and intervention group according to the intervention method,with 45 patients in each group.The patients in the control group received routine nursing,while those in the intervention group received solution-focused nursing.The two groups were compared in terms of postoperative recovery time,anxiety and depression,self-perceived burden,complications,and degree of satisfaction with nursing.Results After intervention,both groups had significant reductions in fasting time,time to first flatus,time to first bowel sound,length of postoperative hospital stay,Self-Rating Anxiety Scale score,Self-Rating Depression Scale score,and self-perceived burden score(Z=2.032-4.213,t=2.991-22.922,P<0.05),and the intervention group had significantlylower levels of these indicators than the control group(Z=1.965-3.678,t=2.541-12.414,P<0.05).Compared with the control group,the intervention group had a significantly lower incidence rate of infectious complications(χ^(2)=4.444,P<0.05)and a significantly higher degree of satisfaction with nur-sing(Z=3.510,P<0.05).Conclusion For patients undergoing EMR due to gastric polyps,the application of the solution-focused approach can facilitate the recovery of gastrointestinal function after EMR,alleviate the negativeemotions of anxiety and depression,and improve the experience with nursing.

关 键 词：心理疗法 短期 息肉 内镜黏膜切除术 胃肠道 焦虑 抑郁 病人满意度 

分 类 号：R493.25[医药卫生—康复医学] R57[医药卫生—临床医学]