Application of psychological intervention combined with humanistic care in patients with digestive endoscopy and its influence on patients′ psychological comfort level

doi:10.3877/cma.j.issn.2095-2015.2020.01.005

Abstract

Abstract:

Objective

To explore the application of psychological intervention combined with humanistic care in patients with digestive endoscopy and its influence on patients′ psychological comfort level.

Methods

From January 2018 to October 2019, 80 patients who underwent painless digestive endoscopy were selected.All patients were randomly divided into control group(40 cases)and observation group(40 cases)by simple number table method.Patients in the control group were given routine nursing intervention, while patients in the observation group were given psychological intervention and humanistic care on the basis of routine nursing.The stress state, comfort state, psychological state and treatment cooperation degree of the two groups were compared.

Results

The differences of heart rate and systolic blood pressure during examination in the observation group were significantly lower than those in the control group(P<0.05). The scores of each dimension of comfort scale in the observation group were significantly higher than those in the control group(P<0.05). The scores of SAS and HAMA in the observation group were significantly lower than those in the control group(P<0.05). The treatment cooperation degree of the observation group(97.50%)was significantly better than that of the control group(82.50%)(P<0.05).

Conclusion

The application of psychological intervention combined with humanistic care in the diagnosis and treatment of digestive endoscopy can effectively alleviate the stress state of diagnosis and treatment of patients, improve the degree of treatment cooperation and psychological comfort level of patients, and achieve good nursing effect, which is worth popularizing widely.

Key words: Digestive endoscopy, Diagnosis and treatment, Psychological intervention, Humanistic care, Psychological comfort, Treatment cooperation

Chengyan Han, Yanhong Ding, Yan Huang, Dongyan Xu, Yanhong Cang. Application of psychological intervention combined with humanistic care in patients with digestive endoscopy and its influence on patients′ psychological comfort level[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2020, 10(01): 15-19.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhxhbyyxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-2015.2020.01.005

https://zhxhbyyxzz.cma-cmc.com.cn/EN/Y2020/V10/I01/15

Figures/Tables 5

References 21

1	赵胜兵，钱维，柏愚，等．人工智能在消化内镜诊疗领域的应用研究进展[J]．中华消化内镜杂志，2019，36(4):293-296.
2	国家消化内镜质控中心，国家麻醉质控中心．中国消化内镜诊疗镇静/麻醉操作技术规范[J]．中华消化内镜杂志，2018，35(12):946-949.
3	齐燕．急诊消化内镜护理过程中的常见问题及防范策略[J/CD]．实用临床护理学电子杂志，2018，3(6):142,196.
4	Epstein NE, Hollingsworth RD.Nursing review of diagnosis and treatment of lumbar degenerative spondylolisthesis[J]．Surg Neurol Int，2017，8(1):246.
5	Kadayifci A, Atar M, Wang JL，et al.Value of adding GNAS testing to pancreatic cyst fluid KRAS and carcinoembryonic antigen analysis for the diagnosis of intraductal papillary mucinous neoplasms[J]．Dig Endosc，2017，29(1):111-117.
6	张庆，姚爱群，刘银阁，等．无缝隙对接护理提升急诊消化内镜护理效果的观察[J]．中华全科医学，2019，17(08):1421-1423.
7	陈楚端．全程护理模式对提高消化内镜诊疗患者护理质量的影响分析[J]．齐齐哈尔医学院学报，2019，40(14):1819-1821.
8	陶明，高静芳．修订焦虑自评量表(SAS-CR)的信度及效度[J]．中国神经精神疾病杂志，1994(5):301-303.
9	侍成栋，潘永良．汉密尔顿抑郁及焦虑量表与正性负性情绪量表的相关性研究[J]．全科护理，2019，17(2):140-142.
10	朱丽霞，高凤莉，罗虹辉，等．舒适状况量表的信效度测试研究[J]．中国实用护理杂志，2006，23(13):57-59.
11	孙绍文，翁忠，唐龙．消化内镜并发症的影响因素[J]．中外医学研究，2017，15(34):183-184
12	于天宇，吴硕东，韩金岩．十二指肠乳头旁憩室与胆胰疾病的关系及对内镜诊疗的影响[J]．中华消化内镜杂志，2019，36(6):422-426.
13	Vincenzi M, Del Ciondolo I, Pasquini E，et al.Effects of a low FODMAP diet and specific carbohydrate diet on symptoms and nutritional adequacy of patients with irritable bowel syndrome：Preliminary results of a single-blinded randomized trial[J]．J Transl Int Med，2017，5(2):120-126.
14	朱炫瑞，王琇，李园．消化内镜护士《软式内镜清洗消毒技术规范》认知行为现状调查[J]．中华现代护理杂志，2018，24(23):2837-2841.
15	李琼霞，张敏，高淑平，等．基于PDCA循环模式的护理在消化内镜中对风险控制的影响[J]．国际护理学杂志，2018，37(18):2460-2464.
16	Cunningham P．Pathophysiology，diagnosis and treatment of polycystic ovary syndrome[J]．Nursing Standard，2017，31(39):44-51.
17	吴艳，柳海燕，尹余平，等．健康教育路径对消化内镜检查患者焦虑情绪及生理应激的影响[J]．中国健康心理学杂志，2018，26(12):1843-1845.
18	惠丽，刘艳．不同护理模式在无痛消化内镜检查术中的应用分析[J/CD]．实用临床护理学电子杂志，2018，3(52):78,84
19	Juanmartiñena JF, Montes M, Fernández-Urién I．Signet ring cell carcinoma of the jejunum：an uncommon finding within the reach of capsule endoscopy[J].2017，109(2):149-150.
20	雪飞，王君芬，张可慧，等．基于人文关怀的优质护理在消化内镜诊疗患者中的应用效果研究[J]．中华全科医学，2019，17(5):881-883.
21	张媛媛，钮美娥，汪茜雅，等．结肠镜检查患者肠道准备不依从影响因素的质性研究[J]．中华现代护理杂志，2018，24(13):1535-1538.

组别	例数	年龄(岁)	性别(例)		疾病类型(例)		内镜检查类型(例)
组别	例数	年龄(岁)	男	女	上消化道疾病	下消化道疾病	肠镜检查	胃镜检查
对照组	40	44.98±6.43	28	12	23	17	24	16
观察组	40	45.45±6.12	25	15	21	19	18	22
t/χ²值	?	－0.335	0.503		0.202		1.805
P值	?	0.739	0.478		0.653		0.179

组别	例数	年龄(岁)	性别(例)		疾病类型(例)		内镜检查类型(例)
组别	例数	年龄(岁)	男	女	上消化道疾病	下消化道疾病	肠镜检查	胃镜检查
对照组	40	44.98±6.43	28	12	23	17	24	16
观察组	40	45.45±6.12	25	15	21	19	18	22
t/χ²值	?	－0.335	0.503		0.202		1.805
P值	?	0.739	0.478		0.653		0.179

组别	例数	心率差值(次/min)	收缩压差值(mmHg)
对照组	40	12.09±3.20	2.85±0.51
观察组	40	6.31±1.19	1.31±0.24
t值	?	10.707	17.280
P值	?	<0.001	<0.001

组别	例数	心率差值(次/min)	收缩压差值(mmHg)
对照组	40	12.09±3.20	2.85±0.51
观察组	40	6.31±1.19	1.31±0.24
t值	?	10.707	17.280
P值	?	<0.001	<0.001

组别	例数	焦虑自评量表		汉密尔顿焦虑量表
组别	例数	干预前	干预后	干预前	干预后
对照组	40	47.67±3.52	36.11±2.72	36.67±10.12	26.62±5.98
观察组	40	47.11±2.79	31.23±4.84	35.71±10.18	20.72±4.12
t值	?	0.789	5.559	0.423	5.138
P值	?	0.433	<0.001	0.673	<0.001

Please choose a citation manager

Content to export