图片式健康教育对ICU重症肺炎行床旁纤支镜诊疗患者不良情绪及生理应激反应的效果

Evaluation of the effect of picture health education on adverse emotional and physiological stress responseof ICU patients with severe pneumonia treated by bedside fiberbronchoscopy

目的:探究图片式健康教育对ICU重症肺炎行床旁纤支镜诊疗患者不良情绪及生理应激反应的效果。方法:选取2020年3月-2021年3月于某院行床旁纤支镜诊疗的ICU重症肺炎患者120例为研究对象,随机分为对照组和观察组各60例。对照组实施常规健康教育,观察组实施图片是健康教育干预。比较两组干预前后的汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、诊疗前及诊疗中的生理应激反应[收缩压(SBP)、舒张压(DBP)、心率(HR)]、诊疗过程中配合情况、舒适度,并评价患者对干预的满意度。结果:两组干预后HAMD、HAMA评分均较干预前下降,且观察组HAMD、HAMA评分均显著低于对照组(t=-8.169,-5.081;P<0.05);诊疗过程中,两组SBP、DBP、HR数值均较较诊疗前有所升高,且观察组各指标明显低于对照组(t=-5.045,-9.622,-10.932;P<0.05);观察组诊疗过程中的配合情况及舒适度明显优于对照组(Z=0.202,10.413;P<0.05);观察组的干预满意度显著高于对照组(χ^(2)=5.065,P<0.05)。结论:图片式健康教育对ICU重症肺炎行床旁纤支镜诊疗患者的干预效果显著,能有效改善患者的不良情绪,减轻患者的生理应激反应,且能够提高患者诊疗过程中的配合度,增加诊疗时的舒适度,患者满意度较高,值得临床推广应用。

Objective:To explore the effects of picture health education on adverse emotional and physiological stress response of ICU patients with severe pneumonia treated by bedside fiberbronchoscopy.Methods:A total of 120 ICU patients with severe pneumonia who received bedside bronchoscopy in our hospital from March 2020 to March 2021 were selected as the study subjects,and randomly divided into control group(n=60)and observation group(n=60).The control group carried out routine health education,and the observation group carried out picture health education intervention.Hamilton Depression Scale(HAMD)score,Hamilton Anxiety Scale(HAMA)score,physiological stress response[systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)]before and during diagnosis and treatment,cooperation and comfort during diagnosis and treatment were compared between the two groups before and after intervention,and patients'satisfaction with the intervention was evaluated.Results:HAMD and HAMA scores in both groups decreased after intervention compared with before intervention,and HAMD and HAMA scores in observation group were significantly lower than those in control group(t=-8.169,-5.081;P<0.05).During the diagnosis and treatment,the values of SBP,DBP and HR in the two groups were higher than those before diagnosis and treatment,and the indexes in the observation group were significantly lower than those in the control group(t=-5.045,-9.622,-10.932;P<0.05).The coordination and comfort level in the observation group were significantly better than those in the control group(Z=0.202,10.413;P<0.05).The intervention satisfaction of the observation group was significantly higher than that of the control group(χ^(2)=5.065,P<0.05).Conclusion:Health education on the image type ICU patients with severe pneumonia line bronchoscopy mirror diagnosis and treatment of the bed and the intervention of the effect is remarkable,which can effectively improve the patient's bad mood,relieve the patient's physiological stress response,and can improve patients'compliance in the diagnosis and treatment process,increase the comfort of diagnosis and treatment of comfort and patient satisfaction.