系统化干预联合微视频健康宣教在早期胃癌患者内镜治疗中的应用效果

Application effect of systematic intervention combined with micro-video health education in endoscopic treatment of patients with early gastric cancer

目的探讨系统化干预联合微视频健康宣教在早期胃癌患者内镜治疗中的应用效果。方法按照护理方式不同将80例早期胃癌患者分为观察组和对照组,每组40例,两组患者均给予常规内镜治疗,对照组患者在此基础上给予系统化护理干预,观察组患者联合微视频健康宣教。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估两组患者的心理状态,采用视觉模拟评分法(VAS)评估疼痛程度,采用简明健康调查表(SF-36)评估生活质量,比较两组患者的胃肠功能改善情况。结果术后1天,两组患者SDS、SAS评分均低于本组术前(P﹤0.05),VAS评分均高于本组术前(P﹤0.05);术后2天,两组患者SDS、SAS评分均低于本组术后1天(P﹤0.05),观察组患者的VAS评分低于本组术前(P﹤0.05),但对照组患者的VAS评分仍高于本组术前(P﹤0.05);且观察组患者术后1、2天的SDS、SAS、VAS评分均低于对照组(P﹤0.05)。观察组患者术后排气时间、肠鸣音恢复时间均明显短于对照组(P﹤0.01),腹胀发生率低于对照组,腹胀程度轻于对照组(P﹤0.05)。干预后,两组患者SF-36量表各维度评分均高于本组干预前(P﹤0.05),且观察组患者SF-36量表各维度评分均高于对照组(P﹤0.05)。结论早期胃癌内镜治疗术后患者应用系统化干预联合微视频健康宣教,可明显改善患者的焦虑、抑郁等负性情绪,促进患者术后胃肠功能的改善,减少腹胀发生风险,明显提高患者的生活质量。

Objective To explore the effect of systematic intervention combined with micro-video health education in the endoscopic treatment of patients with early gastric cancer.Method According to different nursing methods,80 patients with early gastric cancer were divided into observation group and control group,with 40 cases in each group.Patients in the two groups were treated with conventional endoscopy,patients in the control group were given systematic nursing intervention on this basis,and patients in the observation group were combined with micro-video health education.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the mental state of the two groups of patients,the visual analogue scale(VAS)was used to assess the degree of pain,the MOS 36-item shortform health survey(SF-36)was used to assess the quality of life,and the improvement of gastrointestinal function of the two groups of patients was compared.Result 1 day after operation,the SDS,SAS scores of the two groups were lower than those of the group before the operation(P<0.05),and the VAS scores were higher than those of the group before the operation(P<0.05).Two days after operation,the SDS,SAS scores of the two groups of patients were lower than the one day after the operation(P<0.05),and the VAS score of the observation group was lower than that before the operation(P<0.05),but the VAS score in the control group was higher than that before operation(P<0.05),with lower SDS,SAS,VAS scores 1 and 2 days after operation in the observation group than those in the control group(P<0.05).The postoperative exhaust time and bowel sound recovery time of the observation group were shorter than those of the control group(P<0.01),the incidence of abdominal distension was lower than that of the control group,and the degree of abdominal distension was lighter than that of the control group(P<0.05).After the intervention,the scores of each dimension of the SF-36 scale of the two groups of patients were higher than those of the group before the intervention(P<0.05),and the scores of each dimension of the SF-36 scale of the observation group were higher than those of the control group(P<0.05).CCoonncclluu-sion Systematic intervention combined with micro-video health education after endoscopic treatment of early gastric cancer can significantly improve patients’negative emotions such as anxiety and depression,promote the improvement of gastrointestinal function after surgery,reduce the occurrence of abdominal distension,and significantly improve the quality of life of patients.