危机干预对全程CT引导下经皮胃造瘘术患者康复效果的影响

Influence of crisis intervention on rehabilitation effect of patients undergoing whole CT-guided percutaneous gastrostomy

目的 探讨全程CT引导下经皮胃造瘘术患者实施危机干预后患者的自我管理效能及心境状态变化,了解患者的康复情况.方法 选取2012年1月—2016年1月在全程CT引导下行经皮胃造瘘术的食管癌患者164例为研究对象,按随机数字表法分为观察组和对照组,各82例.对照组实施常规护理,观察组在对照组的基础上实施危机干预.比较两组患者护理前后自我管理效能和心境状态变化.结果 实施危机干预模式后观察组患者的自我效能各量表评分均高于对照组,差异有统计学意义（t值分别为19.644、17.889、17.380、20.030;P〈0.01）.实施危机干预后,观察组患者紧张、愤怒、抑郁、混乱得分均低于对照组,自尊感得分高于对照组,差异均有统计学意义（t值分别为2.362、3.102、5.247、2.515;P〈0.05）;疲劳、精力方面两组差异无统计学意义（P〉0.05）.结论 实施危机干预可改善全程CT引导下经皮胃造瘘术患者的心境状态,提高患者的自我管理能力.

Objective To explore the self-management efficacy and mental state changes of patients after crisis intervention who had undergone percutaneous gastrostomy under the guidance of CT in the whole course, and state of their rehabilitation.Methods From January 2012 to January 2016, 164 patients with esophageal cancer who underwent whole course CT-guided percutaneous gastrostomy were selected, and divided into observation group and control group according to random number table, each with 82 cases. Patients in the control group received routine nursing care, besides which, crisis intervention was conducted to patients in the observation group. Self-management efficacy and mental state changes were compared between the two groups before and after the nursing.Results After implementation of crisis intervention model, scores in various self-efficacy scales of patients in the observation group were all higher than those in the control group （t=19.644, 17.889, 17.380, 20.030;P〈0.01）. After the crisis intervention, scores of patients in tension, anger, depression and confusion in the observation group were all lower than those in the control group, while score in self-esteem was higher （t=2.362, 3.102, 5.247, 2.515;P〈0.05）; but difference in perspectives of fatigue and energy showed no statistical significance （P〉0.05）.Conclusions Implementation of crisis intervention can improve mental state and self-management ability of patients who had undergone whole course CT-guided percutaneous gastrostomy.