基于情感适应理论的心理干预联合早期肠内营养对胆管癌术后患者恢复状况及心理健康的影响  

Effects of psychological intervention based on emotional adaptation theory combined with early enteral nutrition on postoperative recovery and mental health of patients with cholangiocarcinoma

作　　者：毛文娟 康维芳 MAO Wenjuan;KANG Weifang(Physical Examination Department,Baoji People's Hospital,Baoji 721000,China;Operating Room,Baoji People's Hospital,Baoji 721000,China)

机构地区：[1]宝鸡市人民医院体检科,陕西宝鸡721000 [2]宝鸡市人民医院手术室,陕西宝鸡721000

出　　处：《临床医学研究与实践》2025年第11期167-170,共4页Clinical Research and Practice

摘　　要：目的分析基于情感适应理论的心理干预联合早期肠内营养对胆管癌术后患者恢复状况及心理健康的影响。方法根据护理方案的不同将2021年4月至2023年4月我院接收的92例胆管癌患者分为对照组(常规营养支持)和观察组(基于情感适应理论的心理干预联合早期肠内营养干预),各46例。比较两组的干预效果。结果术后7 d,观察组的癌症患者自我感受负担量表(SPBS-CP)、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分低于对照组(P<0.05)。术后7 d,观察组的白蛋白(ALB)、前白蛋白(PA)及转铁蛋白(TRF)水平高于对照组(P<0.05);观察组的肠鸣音恢复时间和肛门排气时间均短于对照组(P<0.05)。观察组的术后并发症总发生率明显低于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论基于情感适应理论的心理干预联合早期肠内营养干预可促进胆管癌患者术后胃肠功能和营养指标恢复,降低术后并发症发生风险,减轻负面情绪,提高患者护理满意度。Objective To analyze the effects of psychological intervention based on emotional adaptation theory combined with early enteral nutrition on postoperative recovery and mental health of patients with cholangiocarcinoma.Methods According to the different nursing programs,92 patients with cholangiocarcinoma received in our hospital from April 2021 to April 2023 were divided into control group(routine nutritional support)and observation group(psychological intervention based on emotional adaptation theory combined with early enteral nutrition intervention),with 46 cases in each group.The intervention effects of the two groups were compared.Results At 7 d after operation,the scores of Self-Perceived Burden Scale for Cancer Patients(SPBS-CP),Self-Rating Anxiety Scale(SAS)and Self-Rating Depressive Scale(SDS)in the observation group were lower than those in the control group(P<0.05).At 7 d after operation,the levels of albumin(ALB),prealbumin(PA)and transferrin(TRF)in the observation group were higher than those in the control group(P<0.05);the recovery time of bowel sounds and anal exhaust time in the observation group were shorter than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Psychological intervention based on emotional adaptation theory combined with early enteral nutrition can promote the recovery of gastrointestinal function and nutritional indicators in patients with cholangiocarcinoma after surgery,reduce the risk of postoperative complications,alleviate negative emotions,and improve patients'nursing satisfaction.

关 键 词：胆管癌 情感适应理论 心理干预 肠内营养 

分 类 号：R473[医药卫生—护理学]