胃镜活检患者的心理应激状况及其影响因素分析

Analysis of psychological stress status and its influencing factors in patients with gastroscopic biopsy

目的分析胃镜活检患者的心理应激(PS)状况及其影响因素。方法选取2019年2月—2020年2月桂林医学院附属医院择期接受胃镜活检的190例患者为研究对象,于检查前30 min,采用90项症状清单(SCL-90)评估患者PS状况;设计基线资料调查问卷,询问并记录患者相关基线资料,分析导致胃镜活检患者PS状况不佳的影响因素。结果190例胃镜活检患者,63例(33.16%)PS状况不佳。两组受教育程度、检查前心理疏导方式、应对方式及社会支持比较,差异有统计学意义(P<0.05)。logistics回归分析显示,初中及以下学历(OR=5.450,95%CI:2.949~10.073)、检查前常规心理疏导(OR=66.249,95%CI:17.315~253.479)、消极应对(OR=3.778,95%CI:1.955~7.300)、社会支持低下(OR=2.645,95%CI:1.419~4.930)均是胃镜活检患者PS状况不佳的影响因素(P<0.05)。结论胃镜活检患者普遍PS状况不佳,可能与文化程度、检查前心理疏导方式、应对方式、社会支持等因素有关,临床应据此提出针对性干预方案,以改善胃镜活检患者PS状况。

Objective To analyze the psychological stress(PS)status in patients with gastroscopic biopsy and its influencing factors.Methods From February 2019 to February 2020,190 patients who selectively received gastroscopic biopsy in Affiliated Hospital of Guilin Medical College were selected as study objects,30 minutes before examination,symptom check list-90(SCL-90)was used to evaluate the PS status of patients.Baseline data questionnaire was designed to inquire and record relevant baseline data of patients.The influencing factors that lead to poor PS status of patients with endoscopic biopsy were analyzed.Results Among the 190 patients with gastroscopic biopsy,63 cases(33.16%)had poor PS status.There were significant differences in educational level,psychological counseling before examination,coping style and social support between the two groups(P<0.05).Logistics regression analysis showed that junior high school degree or below(OR=5.450,95%CI:2.949-10.073),routine psychological counseling before examination(OR=66.249,95%CI:17.315-253.479),negative coping(OR=3.778,95%CI:1.955-7.300)and low social support(OR=2.645,95%CI:1.419-4.930)were the influencing factors of poor PS status in patients with gastroscopic biopsy(P<0.05).Conclusion The PS status of patients with gastroscopic biopsy is generally poor,which may be related to factors such as education level,psychological counseling before examination,coping style and social support.Targeted intervention program should be performed clinically according to this,in order to improve the PS status of patients with gastroscopic biopsy.