Effect of focused psychological nursing combined with hand meridian ex-ercise on psychological status and rehabilitation outcomes of patients with intestinal obstruction
Objective To investigate the effect of focused psychological nursing combined with hand meridian exercise on psychological status and rehabilitation outcomes of patients with intestinal obstruction.Methods A total of 96 patients with intestinal obstruction admitted to Department of Gastroenterology Surgery,Suzhou First People's Hospital of Anhui Province from January 2022 to December 2023 were selected as the research subjects.They were divided into the control group and the observation group by using random number table method,with 48 cases in each group.The control group received routine nursing intervention,while the observation group received focused psychological nursing combined with hand meridian exercise intervention.Clinical efficacy and rehabilitation indicators between the two groups were compared.Visual analog scale(VAS),self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores,micro-inflammatory markers,intestinal barrier biochemical markers lev-els,and helper T cell(Th)1/Th2 between the two groups before and after nursing were compared.Results Clinical efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P＜0.05).Disappearance time of abdominal pain,recovery time of bowel sounds,anal exhaust time and defecation time in the observation group were shorter than those in the control group,and the differ-ences were statistically significant(P＜0.05).Before nursing,there were no statistically significant differences in VAS,SAS and SDS scores between the two groups(P＞0.05).After nursing,VAS,SAS and SDS scores of both groups were lower than before nursing,the observation group was lower than the control group,and the differences were statistically significant(P＜0.05).Before nursing,there were no statistically significant differences in the levels of interleukin-6(IL-6),high-sensitivity C-reactive protein(hs-CRP)and tumor necrosis factor-ot(TNF-α)between the two groups(P＞0.05).After nursing,the levels of IL-6,hs-CRP and TNF-α in the two groups were lower than before nursing,the observation group was low-er than the control group,and the differences were statistically significant(P＜0.05).Before nursing,there were no statistically significant differ-ences in the levels of diamine oxidase,D-lactate,and Th1/Th2 between the two groups(P＞0.05).After nursing,the levels of diamine oxidase and D-lactate in both groups were lower than before nursing,Th1/Th2 in both groups was higher than before nursing,the levels of diamine oxidase and D-lactate in the observation group were lower than those in the control group,Th1/Th2 in the observation group was higher than that in the control group,and the differences were statistically significant(P＜0.05).Conclusion Focused psychological nursing combined with hand meridian exer-cises has significant psychological regulatory effect on patients with in-testinal obstruction.It can effectively improve rehabilitation outcomes,shorten recovery time,reduce pain and anxiety-depression emotions,alle-viate inflammatory responses,and improve intestinal barrier function.
Focused psychological nursingHand meridian exercisesIntestinal obstructionPsychological statusRehabilitation outcomes
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