出院随访对早期胃黏膜病变患者经内镜黏膜下剥离术后恢复的影响
Effect of discharge follow-up on postoperative recovery of patients with early gastric mucosal lesions undergoing endoscopic submucosal dissection
张苗英 1姚鑫杰 1张思怡1
作者信息
- 1. 德清县人民医院 消化内科,浙江 湖州 313200
- 折叠
摘要
目的 探讨出院随访对早期胃黏膜病变经内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)患者术后恢复的影响,为患者自我管理提供依据.方法 98 例胃ESD患者分别接受常规术后随访(对照组,49 例)和定期出院随访(观察组,49 例);随访 1 月后,比较两组患者出院前后的心理状况、睡眠质量、疼痛程度及不良反应发生情况.结果 观察组出院 1 月后的疼痛、焦虑自评量表(SAS)、抑郁自评量表(SDS)、应对方式问卷(CSQ)、症状自评量表(SCL-90)、匹兹堡睡眠质量指数(PSQI)的评分改善效果均优于对照组,差异均有统计学意义(均P<0.05);观察组不良反应发生率(12.24%)低于对照组(32.65%),差异有统计学意义(χ2=5.861,P=0.016).结论 加强对胃ESD术后患者的出院随访,能够有效改善患者的睡眠质量和负性情绪、减少不良反应.
Abstract
Objective To explore the effect of post-discharge follow-up on the recovery of patients with early gastric mucosal lesions undergoing endoscopic submucosal dissection(ESD),and to provide a basis for patient self-management.Methods A total of 98 patients who underwent gastric ESD were divided into two groups:the control group(49 cases)received routine postoperative follow-up and the observation group(49 cases)received regular follow-up after discharge.After one month of follow-up,the psychological status,sleep quality,pain levels,and incidence of adverse reactions before and after discharge were compared between the two groups.Results At one month post-discharge the observation group showed significantly better improvement in scores for pain,the self-rating anxiety scale(SAS),the self-rating depression scale(SDS),the coping style questionnaire(CSQ),the symptom checklist-90(SCL-90),and the Pittsburgh sleep quality index(PSQI)compared to the control group,with all differences being statistically significant(all P<0.05).The incidence of adverse reactions in observation group(12.24%)was lower than that in control group(32.65%),and the difference was statistically significant(χ2=5.861,P=0.016).Conclusions Enhancing post-discharge follow-up for patients after gastric ESD can effectively improve patients'sleep quality and negative emotions,as well as reduce adverse reactions.
关键词
出院随访/早期胃黏膜病变/内镜黏膜下剥离术Key words
post-discharge follow-up/early gastric mucosal lesions/endoscopic submucosal dissection引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据