摘要
目的探讨健康教育配合焦点式心理护理对食管内镜黏膜下剥离术(ESD)患者应激反应、健康行为及康复结局的影响。方法选取2019年12月至2021年12月于我院接受食管ESD治疗的90例患者为研究对象,根据电脑盲选法将其分为对照组(45例,常规护理)和研究组(45例,在对照组的基础上开展健康教育配合焦点式心理护理)。比较两组的护理效果。结果术后5 d,研究组的医院焦虑抑郁量表(HADS)、医院焦虑抑郁量表-焦虑亚量表(HADS-A)、医院焦虑抑郁量表-抑郁亚量表(HADS-D)评分低于对照组(P<0.05)。术后1 d,研究组的去甲肾上腺素(NE)、β-内啡肽(β-EP)、皮质醇(Cor)水平低于对照组(P<0.05)。干预后,研究组的健康责任、营养、体育运动、压力管理、精神成长、人际关系评分及总分均高于对照组(P<0.05)。研究组的术后禁食时间、肠鸣音恢复时间、首次排气时间及住院时间短于对照组,术后并发症总发生率低于对照组(P<0.05)。结论健康教育配合焦点式心理护理有助于缓解食管ESD患者应激反应,提高健康行为,降低术后并发症发生率。
Objective To explore the effects of health education combined with focus psychological nursing on stress response,health behavior and rehabilitation outcome of patients undergoing esophageal endoscopic submucosal dissection(ESD).Methods A total of 90 patients who received esophageal ESD treatment in our hospital from December 2019 to December 2021 were selected as the research objects.According to the computer blind selection method,the patients were divided into control group(45 cases,routine nursing)and study group(45 cases,health education combined with focus psychological nursing on the basis of the control group).The nursing effects of the two groups were compared.Results At 5 d after operation,the scores of Hospital Anxiety and Depression Scale(HADS),Hospital Anxiety and Depression Scale-Anxiety(HADS-A)and Hospital Anxiety and Depression Scale-Depression(HADS-D)in the study group were lower than those in the control group(P<0.05).At 1 d after operation,the levels of norepinephrine(NE),β-endorphin(β-EP)and cortisol(Cor)in the study group were lower than those in the control group(P<0.05).After intervention,the scores of health responsibility,nutrition,sports,stress management,mental growth,interpersonal relationship and total score of the study group were higher than those of the control group(P<0.05).The postoperative fasting time,bowel sound recovery time,first exhaust time and hospital stay of the study group were shorter than those of the control group,and the total incidence of postoperative complications was lower than that of the control group(P<0.05).Conclusion Health education combined with focus psychological nursing can help to alleviate the stress response of patients undergoing esophageal ESD,improve health behavior,and reduce the incidence of postoperative complications.
作者
王芳
刘晶莲
原姗姗
WANG Fang;LIU Jinglian;YUAN Shanshan(Gastroenterology Department,Xi'an Central Hospital,Xi'an 710003,China)
出处
《临床医学研究与实践》
2023年第18期143-146,共4页
Clinical Research and Practice
基金
西安市卫生健康委员会科研项目(No.2021qn01)。
关键词
健康教育
焦点式心理护理
食管内镜黏膜下剥离术
应激反应
健康行为
康复结局
health education
focus psychological nursing
esophageal endoscopic submucosal dissection
stress response
health behavior
rehabilitation outcome
