论文部分内容阅读
目的探讨适时心理干预对消化内镜检查患者负性情绪的影响。方法研究对象为2014年1月至2015年6月期间在我院住院并做消化内镜检查患者360例,按入院先后顺序交替分入A、B、C、D组,每组各90例,对A、B、C三组分别在检查前3天、1天、2小时进行心理干预,D组为对照组,比较各组患者负性情绪的变化情况。结果研究结果显示,干预A、B、C三组患者检查前30分钟的焦虑自评量表(SAS)、抑郁自评量表(SDS)评定得分均明显低于入院第一天,且差异具有统计学意义(P<0.05);而对照D组患者两次调查得分并无明显差异(P>0.05)。检查前30分钟调查A、B、C组患者SAS、SDS、视觉模拟评分法(VAS)得分均低于对照组D组,差异有统计学意义(P<0.05)。且干预后B组患者的SAS得分、SDS得分、VAS得分要低于A组、C组,差异具有统计学意义(P<0.05)。干预后A组患者的SAS、SDS、VAS得分相较于C组有差异,但无统计学意义(P>0.05)。结论检查前对消化内镜检查患者进行心理干预,能有效缓解患者焦虑、抑郁的负性情绪,减少痛苦程度,而检查前1天进行心理干预可能是最合适的时机。
Objective To investigate the effect of timely psychological intervention on the negative emotions of digestive endoscopy patients. Methods A total of 360 hospitalized patients with digestive endoscopy in our hospital from January 2014 to June 2015 were randomly divided into groups A, B, C and D according to the sequence of hospital admission, with 90 cases in each group. Groups A, B, and C were psychologically intervened 3 days, 1 day and 2 hours before the examination, respectively. Group D was the control group, and the changes of negative emotions in each group were compared. Results The results showed that anxiety self-rating scale (SAS) and self-rating depression scale (SDS) scores of intervention group A, B and C were significantly lower than the first day of admission 30 minutes before the examination, and the differences were significant (P <0.05). There was no significant difference between the two groups in the control group D (P> 0.05). The scores of SAS, SDS, visual analogue scale (VAS) in group A, B and C were lower than those in control group D in the 30 minutes before the examination, the difference was statistically significant (P <0.05). The scores of SAS, SDS and VAS in group B after intervention were lower than those in group A and group C (P <0.05). SAS, SDS, VAS scores of patients in group A after intervention were different from those in group C, but there was no statistical significance (P> 0.05). Conclusions Psychological intervention before digestion in patients with digestive endoscopy can effectively alleviate the negative emotions of patients with anxiety and depression and reduce the degree of pain. Psychological intervention one day before the examination may be the most appropriate time.