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Received:May 25, 2024 Published Online:November 20, 2024
Received:May 25, 2024 Published Online:November 20, 2024
中文摘要: 目的 探讨积极心理干预对于胆管结石经内镜逆行胰胆管造影(ERCP)围术期胰腺炎患者的应用价值及调节患者情绪的作用。方法 纳入2021年1月至2023年12月南京医科大学第一附属医院收治的120例胆管结石ERCP围术期胰腺炎患者,以随机数字表法分为观察组和对照组,各60例。对照组采用常规干预措施,观察组在对照组的基础上给予积极心理干预。记录两组康复相关指标(肛门排便时间、肛门排气时间、住院时间);采用汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评估患者的焦虑、抑郁情绪;采用自我护理能力量表(ESCA)评分评估患者的自护能力;采用匹兹堡睡眠质量指数(PSQI)评分评估患者的睡眠质量。结果 观察组住院时间短于对照组[(14.26±4.71)d vs (18.82±5.33)d,P<0.05];干预后观察组HAMA、HAMD评分低于对照组,自我概念、自护责任感评分高于对照组,入睡时间、睡眠障碍、睡眠效率、睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。结论 积极心理干预用于胆管结石ERCP围术期胰腺炎患者中有利于减轻患者的焦虑、抑郁情绪,改善患者的自护能力和睡眠质量,促进患者康复。
中文关键词: 胆管结石 内镜下逆行胰胆管造影 急性胰腺炎 积极心理干预 睡眠质量
Abstract:Objective To explore the application value and emotional regulation of positive psychological intervention in patients with perioperative pancreatitis undergoing endoscopic retrograde cholangiopancreatography (ERCP) for bile duct stone. Methods From January 2021 to December 2023, 120 patients with perioperative pancreatitis undergoing ERCP for bile duct stone treated in the First Affiliated Hospital of Nanjing Medical University were selected and divided into observation group (60 cases) and control group (60 cases) by random number table method. The control group received routine intervention measures, and the observation group received positive psychological intervention on the basis of the control group. Recovery related indexes (anal defecation time, anal exhaust time, hospital stay) were recorded in the two groups. Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate the anxiety and depression of the patients. The self-care ability of patients was evaluated by self-care Ability Scale (ESCA). The Pittsburgh Sleep Quality Index (PSQI) score was used to evaluate the sleep quality of the patients. Results The hospital stay in the observation group was shorter than that in the control group[(14.26±4.71)d vs (18.82±5.33)d,P<0.05]. After intervention, compared with control group, HAMA and HAMD scores were lower, the scores of self-concept and sense of self-care were higher, the scores of sleep time, sleep disorder, sleep efficiency and sleep quality were lower in the observation group, and the differences were statistically significant (P<0.05). Conclusion Positive psychological intervention in patients with pancreatitis in perioperative period of ERCP is beneficial to reduce the anxiety and depression of patients, improve the self-care ability and sleep quality of patients, and promote the recovery of patients.
keywords: Bile duct calculus Endoscopic retrograde cholangiopancreatography Acute pancreatitis Positive psychological intervention Sleep quality
文章编号: 中图分类号:R657.5+1 文献标志码:B
基金项目:国家自然科学基金(81600416)
Author Name | Affiliation |
ZHAO Dandan, LIU Meihong, LU Xi | Department of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210000, China |
Author Name | Affiliation |
ZHAO Dandan, LIU Meihong, LU Xi | Department of Gastroenterology, the First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210000, China |
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