基于心理应激理论干预策略在内镜下扩张治疗食管狭窄患者中的应用  

Application of psychological stress theory in endoscopic dilatation in patients with esophageal stricture

作　　者：姜翠翠 杨清[1] 杨宁琍[1] Jiang Cuicui;Yang Qing;Yang Ningli(Department of Hernia and Abdominal Wall Surgery,Bariatric,General Surgery,Jiangsu Province Hospital,Nanjing 210029,China)

机构地区：[1]江苏省人民医院普外减重、疝与腹壁外科,江苏南京210029

出　　处：《海军医学杂志》2025年第1期95-98,共4页Journal of Navy Medicine

基　　金：国家自然科学基金项目(82000621)。

摘　　要：目的 探究基于心理应激理论干预策略在内镜下扩张治疗食管狭窄患者中的应用效果。方法 选取2019年9月至2021年1月在江苏省人民医院接受内镜下扩张治疗的110例食管狭窄患者为研究对象。按照随机数字表法将患者分为对照组和观察组,每组各55例。对照组实施常规心理干预,观察组在此基础上实施基于心理应激理论干预策略。于干预前、干预3 d、干预1周后,采用心理创伤后应激障碍自评量表(PTSD-SS)、中文版心理弹性量表(CD-RISC)及康复状态量表(MRSS)评价2组患者应激障碍、心理弹性水平和康复状态。结果 重复测量方差分析显示,基于心理应激理论干预对内镜下扩张治疗食管狭窄患者的PTSD-SS、CD-RISC、MRSS存在时间、组别、时间与组别交互作用(P<0.05)。结论 基于心理应激理论的干预策略能够缓解内镜下扩张治疗食管狭窄患者应激障碍,恢复心理弹性水平,促进患者术后恢复。Objective To explore the application of psychological stress theory in endoscopic dilatation in patients with esophageal stricture.Methods A total of 110 patients who underwent endoscopic dilatation for esophageal stricture in Jiangsu Provincial People’s Hospital from September 2019 to January 2021 were selected as research objects.They were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group implemented conventional psychological intervention,and the observation group implemented conventional psychological intervention and the intervention based on psychological stress theory.The level of stress disorder,psychological resilience,and rehabilitation status were evaluated by the Post Traumatic Stress Disorder Self-Rating Scale(PTSD-SS),Connor-Davidson Resilience Scale(CD-RISC),and Morningside Rehabilitation Status Scale(MRSS)before intervention,on the day 3 of intervention,and 1 week after intervention.Results Repeated measure ANOVA showed that there were time,group,time-group interactions in the scores of PTSD-SS,CD-RISC,and MRSS in patients undergoing endoscopic dilatation for esophageal stricture when psychological intervention based on psychological stress theory was applied(P<0.05).Conclusion The intervention based on psychological stress theory can relieve the stress disorder in patients undergoing endoscopic dilatation for esophageal stricture,restore the psychological resilience,and promote postoperative recovery.

关 键 词：心理应激理论 内镜下扩张治疗 食管狭窄 应激障碍 心理弹性 康复状态 

分 类 号：R473.5[医药卫生—护理学]