激励式心理干预联合程序化干预对肺癌呼吸内镜检查患者情绪的影响

Effect of motivational psychological intervention combined with programmed intervention on mood of patients with lung cancer undergoing respiratory endoscopy

目的探讨激励式心理干预联合程序化干预对肺癌呼吸内镜检查患者情绪的影响。方法将90例择期行呼吸内镜检查的肺癌患者根据干预方式不同分为A组、B组、联合组,各30例。A组给予激励式心理干预,B组给予程序化干预,联合组给予激励式心理干预联合程序化干预。干预前后采用焦虑自评量表、抑郁自评量表评定3组焦虑抑郁情绪,入院时、检查前、检查后比较3组呼吸频率、脉搏、舒张压及收缩压,比较3组不良反应发生率、检查操作时间及干预满意度。结果干预后3组焦虑自评量表及抑郁自评量表评分均较干预前显著降低(P<0.05或0.01),联合组显著低于A组、B组(P<0.01)。检查前联合组呼吸频率及舒张压显著高于入院时(P<0.05或0.01),A组、B组呼吸频率、脉搏、舒张压及收缩压均显著高于入院时(P<0.01),联合组显著低于A组、B组(P<0.05或0.01);检查后联合组呼吸频率、脉搏、舒张压及收缩压与入院时比较差异无统计学意义(P>0.05),A组、B组呼吸频率显著高于入院时,联合组显著低于A组、B组(P<0.01)。联合组不良反应发生率显著低于A组、B组(P<0.05),检查操作时间显著短于A组、B组(P<0.01),干预总满意率显著高于A组、B组(P<0.05)。结论激励式心理干预联合程序化干预能显著改善肺癌呼吸内镜检查患者的情绪,维持围检查期呼吸频率、脉搏及血压平稳,缩短检查操作时间,降低不良反应发生率,提高干预满意度。

Objective To investigate the effect of motivational psychological intervention combined with programmed intervention on mood of patients with lung cancer undergoing respiratory endoscopy.Methods A total of 90 patients with lung cancer undergoing respiratory endoscopy were divided into group A,group B and combined group according to different intervention methods,with 30 cases in each group.Group A was given motivational psychological intervention,group B was given programmed intervention,and the combined group was given motivational psychological intervention combined with programmed intervention.Self-rating anxiety scale(SAS)and self-rating depressive scale(SDS)were used to evaluate the anxiety and depression of the three groups before and after the intervention.The respiratory rate,pulse,diastolic and systolic blood pressure of the three groups were compared at admission,before and after examination.The incidence of adverse reactions,examination operation time and intervention satisfaction of the three groups were compared.Results After the intervention,the SAS and SDS scores of the three groups were significantly lower than those before the intervention(P<0.05 or 0.01),and the combined group was significantly lower than group A and group B(P<0.01).Before examination,the respiratory rate and diastolic blood pressure in the combined group were significantly higher than those at admission(P<0.05 or 0.01).The respiratory rate,pulse,diastolic and systolic blood pressure in group A and group B were significantly higher than those at admission(P<0.01),and those in the combined group were significantly lower than those in group A and group B(P<0.05 or 0.01).After examination,there was no significant difference in respiratory rate,pulse,diastolic and systolic blood pressure between the combined group and that at admission(P>0.05).The respiratory rates of group A and group B were significantly higher than those at admission,and the combined group was significantly lower than group A and group B(P<0.01).The incidence of adverse reactions in the combined group was significantly lower than that in group A and group B(P<0.05),the examination operation time was significantly shorter than that in group A and group B(P<0.01),and the total satisfaction rate of intervention was significantly higher than that in group A and group B(P<0.05).Conclusions Motivational psychological intervention combined with programmed intervention can significantly improve the mood of lung cancer patients undergoing respiratory endoscopy,maintain the stability of respiratory rate,pulse and blood pressure during the peri-examination period,shorten the operation time,reduce the incidence of adverse reactions,and improve the satisfaction of the intervention.