放松训练式心理干预对经内镜逆行性胰胆管造影术患者依从性、情绪状态和疼痛的影响
| 作者: |
1孟静,
2宁小菲
1 北京积水潭医院消化内科，北京 100035 2 中国医学科学院北京协和医院外科，北京 100730 |
| 通讯: |
孟静
Email: xiaoqiyouhuo@iCloud.com |
| DOI: | 10.3978/j.issn.2095-6959.2023.221094 |
摘要
目的：探讨放松训练式心理干预对经内镜逆行性胰胆管造影术(endoscopic retrograde cholangiopancreatography，ERCP)患者依从性、焦虑抑郁情绪及疼痛的影响。方法：选取2019年1月至2021年10月北京积水潭医院收治的100例ERCP患者为研究对象，按随机数字表法随机分为对照组与观察组，每组50例。对照组予以常规护理，观察组在对照组基础上增加基于放松训练的心理护理。比较两组依从性、焦虑自评量表(Self-Rating Anxiety Scale，SAS)、抑郁自评量表(Self-Rating Depression Scale，SDS)、Prince-Henry疼痛评分法(Prince-Henry Pain Score，PHPS)、胃肠道生存质量指数量表(Gastrointestinal Quality of Life Index，GIQLI)评分、ERCP并发症总发生率。结果：观察组依从性明显优于对照组(P<0.05)。观察组干预后SAS、SDS评分均明显低于对照组(均P<0.05)。观察组在第2、3天的PHPS评分均明显低于对照组(均P<0.05)。观察组干预后GIQLI中主观症状、生理状态、精神心理、社会活动评分均明显高于对照组(均P0.05)。结论：放松训练式心理干预可有效缓解ERCP患者焦虑抑郁情绪，提高依从性，缓解术后疼痛，改善生活质量。
关键词：
放松训练；心理护理；经内镜逆行性胰胆管造影术；焦虑抑郁；依从性
Effect of psychological intervention based on relaxation training on compliance, emotional state and pain in patients with endoscopic retrograde cholangiopancreatography
CorrespondingAuthor: MENG Jing Email: xiaoqiyouhuo@iCloud.com
DOI: 10.3978/j.issn.2095-6959.2023.221094
Abstract
Objective: To explore the effect of psychological intervention based on relaxation training on compliance, anxiety, depression and pain in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP).
Methods: A total of 100 patients with ERCP admitted to Beijing Jishuitan Hospital from January 2019 to October 2021 were selected and randomly divided into a control group and an observation group according to the random number table method (n=50 in each group). The control group received routine nursing, and the observation group added psychological nursing based on relaxation training on the basis of the control group. The compliance, scores of Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Prince-Henry Pain Score (PHPS), Gastrointestinal Quality of Life Index (GIQLI), and total incidence of ERCP complications was compared between the 2 groups.
Results: The compliance of the observation group was significantly better than that of the control group (P<0.05). The scores of SAS and SDS in the observation group after intervention were significantly lower than those in the control group (both P<0.05). The PHPS scores of the observation group on the 2nd and 3rd day were significantly lower than those of the control group (both P<0.05). The scores of subjective symptoms, physiological status, mental psychology, and social activities in GIQLI in the observation group after intervention were significantly higher than those in the control group (all P0.05).
Conclusion: Psychological intervention based on relaxation training can effectively relieve postoperative anxiety and depression of ERCP patients, alleviate postoperative pain, and improve their compliance and quality of life.
Keywords：
relaxation training; psychological intervention; endoscopic retrograde cholangiopancreatography; anxiety and depression; compliance
Methods: A total of 100 patients with ERCP admitted to Beijing Jishuitan Hospital from January 2019 to October 2021 were selected and randomly divided into a control group and an observation group according to the random number table method (n=50 in each group). The control group received routine nursing, and the observation group added psychological nursing based on relaxation training on the basis of the control group. The compliance, scores of Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Prince-Henry Pain Score (PHPS), Gastrointestinal Quality of Life Index (GIQLI), and total incidence of ERCP complications was compared between the 2 groups.
Results: The compliance of the observation group was significantly better than that of the control group (P<0.05). The scores of SAS and SDS in the observation group after intervention were significantly lower than those in the control group (both P<0.05). The PHPS scores of the observation group on the 2nd and 3rd day were significantly lower than those of the control group (both P<0.05). The scores of subjective symptoms, physiological status, mental psychology, and social activities in GIQLI in the observation group after intervention were significantly higher than those in the control group (all P0.05).
Conclusion: Psychological intervention based on relaxation training can effectively relieve postoperative anxiety and depression of ERCP patients, alleviate postoperative pain, and improve their compliance and quality of life.