静默心理疗法在早期上消化道肿瘤内镜黏膜下剥离术患者中的应用效果

Effect of silent psychotherapy on patients with early upper gastrointestinal tumor undergoing endoscopic submucosal dissection

目的探讨静默心理疗法在早期上消化道肿瘤内镜黏膜下剥离术(ESD)患者中的应用效果。方法根据干预方法的不同将200例早期上消化道肿瘤患者分为对照组和观察组,每组100例,对照组患者给予常规护理干预,观察组患者给予常规干预联合静默疗法。比较两组患者的康复相关指标、炎性因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)]水平、负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、自我效能感[一般自我效能感量表(GSES)]和护理满意度[纽卡斯尔护理服务满意度量表(NSNS)]。结果观察组患者手术时间、术后禁食时间、术后下床活动时间和住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者CRP、IL-6水平均高于本组干预前,但观察组患者CRP、IL-6水平均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS评分均低于本组干预前,GSES评分均高于本组干预前,且观察组患者SAS、SDS评分均低于对照组,GSES评分高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的护理满意度为85.00%,高于对照组患者的54.00%,差异有统计学意义(P﹤0.05)。结论静默心理疗法可明显改善早期上消化道肿瘤ESD患者的负性情绪,提高自我效能感和护理满意度。

Objective To investigate the effect of silent psychotherapy on patients with early upper gastrointestinal tumor undergoing endoscopic submucosal dissection(ESD).Method According to different intervention methods,200 patients with early upper gastrointestinal tumor were divided into control group and observation group,with 100 patients in each group.The patients in the control group were given routine nursing intervention,while the patients in the observation group were given routine intervention combined with silent psychotherapy.The rehabilitation related indexes,inflammatory factors[C-reactive protein(CRP),interleukin-6(IL-6)],negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-efficacy[general self-efficacy scale(GSES)]and nursing satisfaction[Newcastle satisfaction with nursing scale(NSNS)]were compared between the two groups.Result The operation time,fasting time,activity time and hospitalization time in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.01).After the intervention,the CRP and IL-6 levels in the two groups were higher than those before the intervention,but the CRP and IL-6 levels in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the SAS and SDS scores of patients in the two groups were lower than those before the intervention,and the GSES scores were higher than those before the intervention,the SAS and SDS scores of patients in the observation group were lower than those in the control group,and the GSES score was higher than that in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of patients in the observation group was 85.00%,higher than 54.00%of patients in the control group,the difference was statistically significant(P<0.05).Conclusion Silent psychotherapy can significantly improve the perioperative negative emotions of early upper gastrointestinal tumor patients with ESD,and improve self-efficacy and nursing satisfaction.