青岛大学学报(医学版)2024,Vol.60Issue(3) :451-454.DOI:10.11712/jms.2096-5532.2024.60.101

焦点解决模式对胃息肉内镜下黏膜切除术后病人胃肠功能及焦虑和抑郁情绪的影响

Effect of solution-focused approach on gastrointestinal function,anxiety,and depression in patients after endoscopic mucosal resection of gastric polyps

陈彬 张志强 王惠琴
青岛大学学报(医学版)2024,Vol.60Issue(3) :451-454.DOI:10.11712/jms.2096-5532.2024.60.101

焦点解决模式对胃息肉内镜下黏膜切除术后病人胃肠功能及焦虑和抑郁情绪的影响

Effect of solution-focused approach on gastrointestinal function,anxiety,and depression in patients after endoscopic mucosal resection of gastric polyps

陈彬 1张志强 1王惠琴1
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作者信息

  • 1. 新疆医科大学第一附属医院内镜中心,新疆乌鲁木齐 830054
  • 折叠

摘要

目的 探究焦点解决模式对胃息肉内镜下黏膜切除(EMR)术后病人胃肠功能及焦虑、抑郁情绪的影响.方法 收集2022年5月-2023年5月于我院就诊的EMR术后病人90例,根据干预方式分组,对照组给予常规护理,干预组给予焦点解决模式护理,每组45例病人.比较两组病人术后康复时间、焦虑抑郁情绪、自我感受负担、并发症及护理满意度指标.结果 干预后,两组禁食时间、排气时间、肠鸣音恢复时间、术后住院时间、焦虑自评量表评分、抑郁自评量表评分及自我感受负担评分均下降(Z=2.032~4.213,t=2.991~22.922,P<0.05),且干预组低于对照组(Z=1.965~3.678,t=2.541~12.414,P<0.05).干预组感染并发症发生率低于对照组(x2=4.444,P<0.05),护理满意度高于对照组(Z=3.510,P<0.05).结论 焦点解决模式的应用有助于胃息肉EMR术后病人恢复胃肠功能,缓解焦虑和抑郁的负面情绪,提升护理体验感.

Abstract

Objective To investigate the effect of solution-focused approach on gastrointestinal function,anxiety,and de-pression in patients after endoscopic mucosal resection(EMR)of gastric polyps.Methods A total of 90 patients who attended our hospital after EMR from May 2022 to May 2023 were enrolled and divided into control group and intervention group according to the intervention method,with 45 patients in each group.The patients in the control group received routine nursing,while those in the intervention group received solution-focused nursing.The two groups were compared in terms of postoperative recovery time,anxiety and depression,self-perceived burden,complications,and degree of satisfaction with nursing.Results After interven-tion,both groups had significant reductions in fasting time,time to first flatus,time to first bowel sound,length of postoperative hospital stay,Self-Rating Anxiety Scale score,Self-Rating Depression Scale score,and self-perceived burden score(Z=2.032-4.213,t=2.991-22.922,P<0.05),and the intervention group had significantlylower levels of these indicators than the control group(Z=1.965-3.678,t=2.541-12.414,P<0.05).Compared with the control group,the intervention group had a significant-ly lower incidence rate of infectious complications(x2=4.444,P<0.05)and a significantly higher degree of satisfaction with nur-sing(Z=3.510,P<0.05).Conclusion For patients undergoing EMR due to gastric polyps,the application of the solution-fo-cused approach can facilitate the recovery of gastrointestinal function after EMR,alleviate the negativeemotions of anxiety and de-pression,and improve the experience with nursing.

关键词

心理疗法,短期/息肉/内镜黏膜切除术/胃肠道/焦虑/抑郁/病人满意度

Key words

psychotherapy,brief/polyps/endoscopic mucosal resection/gastrointestinal tract/anxiety/depression/pa-tient satisfaction

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基金项目

新疆维吾尔自治区科技厅项目(2022TSYCTD00-18)

出版年

2024
青岛大学学报(医学版)
青岛大学医学院

青岛大学学报(医学版)

CSTPCD
影响因子:0.8
ISSN:1672-4488
参考文献量17
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