关于纤维胃镜检查病人的应激与心理准备的实验研究——Ⅲ特质性焦虑、心理准备与镜检期间的心理和生理变化

Comprehensive effects of psychological preparation on the stress reactions to upper gastrointestinal endoscopy examination (Ⅲ):Trait anxiety,psychological preparation,and psychological and physiological changes.

本文考察了特质性焦虑、心理准备对镜检期间病人的心理和生理应激反应的交互影响。根据在 Spielberger 的特质性焦虑量表中的得分,90名病人被分成焦虑特质者和非焦虑特质者。结果表明,焦虑特质者镜检期间的主观痛苦和镜检前后状态性焦虑的评分显著高于非焦虑特质者,但是前者镜检期间的收缩压变化低于后者。无论焦虑特质者还是非焦虑特质者,心理准备都有有益的影响,然而他们获益的方面有不同。就收缩压和状态性焦虑而言,这种心理准备技术对非焦虑特质者更有效。

The interactive effects of trait anxiety and psychological preparation on psychological and physio-logical stress responses were investigated during an upper gastrointestinal endoscopy examination.Ninety patients were di-vided into A—traiter group and non—A—traiter group based on the Spielberger State—Trait Anxiety Scale.It wasfound that A—traiters had significantly higher scores in measuring subjective distress and state anxiety but less changes in systolic blood pressure than non—traiters in a comparison of that of before and after the examination.However,the psy-chological preparation was observed to reduce stress responses in both of non—A—traiters and A—traiters,especially theformer got more benefit from psychological preparation in the measurement of systolic blood pressure and state anxiety.