心理干预对经食管内镜直视记忆合金支架置入患者的影响

Effect of psychological intervention on patients receiving endoscopic esophageal stenting

目的探讨减轻行食管支架置入术患者紧张焦虑情绪及术后并发症的有效性心理干预措施。方法选择住院择期实施内镜下食管支架置入术的患者70例，按入院先后顺序分为观察组和对照组，各35例，对照组给予常规护理及一般心理护理，观察组除采用常规护理外，对患者实施个性化心理干预，比较两组患者紧张、焦虑情况及术后并发症发生率。结果观察组患者紧张焦虑情况较对照组有明显缓解，两组比较差异有统计学意义（无焦虑22．85％比65．71％；χ2=13．17，P〈0．05）；观察组术后并发症发生率低于对照组，差异具有统计学意义（χ2分别为11．7，4．6，4．2；P〈0．05）。结论实施心理干预能有效减轻患者的心理压力，缓解患者的紧张、焦虑情绪，从而降低术后并发症的发生，提高患者的生存质量，提高其满意度。

Objective To explore psychological interventional approaches on alleviating emotional anxiety as well as decreasing post-procedural complications of patients receiving endoscopic esophageal stenting. Methods 70 patients received endoscopic esophageal stenting between February 2008 and October 2009 were divided randomly into experimental group （ n = 35 ） and control group （ n = 35 ）. Conventional psychological nursing care was given to the control group. Except the conventional care, additional personalized psychological intervention was carried out in the experimental group. Conditions of nervousness, emotional anxiety and occurrence rates of post-procedural complications were measured and compared. Results The conditions of nervousness, emotional anxiety were significantly improved in the experimental group than in the control group （22.85% vs 65.71% ; χ2 = 13. 17, P 〈 0.05）. Occurrence rate of postoperation complications was also significantly decreased （ χ2 = 11.7,4.6,4.2, respectively; P 〈 0. 05 ）. Conclusions Psychological interventions effectively alleviate emotional anxiety, nervousness and apprehension, reduce the postoperation complications, increase quality of living and satisfaction of the patients.