焦点式心理护理联合手部经络操对肠梗阻患者心理状况及康复效果的影响

Effect of focused psychological nursing combined with hand meridian exercise on psychological status and rehabilitation outcomes of patients with intestinal obstruction

目的探讨焦点式心理护理联合手部经络操对肠梗阻患者心理状况及康复效果的影响。方法选取2022年1月至2023年12月安徽省宿州市第一人民医院胃肠外科收治的96例肠梗阻患者为研究对象,按随机数字表法将其分为对照组和观察组,每组48例。对照组给予常规护理模式干预,观察组给予焦点式心理护理联合手部经络操干预。比较两组临床疗效和康复指标;比较两组护理前后视觉模拟评分法(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及微炎症指标、肠道屏障生化指标水平和辅助性T细胞(Th)1/Th2。结果观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。观察组腹痛消失时间、肠鸣音恢复时间、肛门排气时间及排便时间均短于对照组,差异有统计学意义(P<0.05)。护理前,两组VAS、SAS和SDS评分比较,差异无统计学意义(P>0.05);护理后,两组VAS、SAS和SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理前,两组白细胞介素-6(IL-6)、高敏C反应蛋白(hs-CRP)和肿瘤坏死因子-α(TNF-α)水平比较,差异无统计学意义(P>0.05);护理后,两组IL-6、hs-CRP和TNF-α水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。护理前,两组二胺氧化酶、D-乳酸水平及Th1/Th2比较,差异无统计学意义(P>0.05);护理后,两组二胺氧化酶、D-乳酸水平均低于护理前,Th1/Th2均高于护理前,且观察组二胺氧化酶、D-乳酸水平均低于对照组,Th1/Th2高于对照组,差异有统计学意义(P<0.05)。结论焦点式心理护理联合手部经络操对肠梗阻患者具有显著的心理调节作用,可有效改善其康复效果,缩短康复时间,降低疼痛及焦虑抑郁情绪,减轻炎症反应,改善肠道屏障功能。

Objective To investigate the effect of focused psychological nursing combined with hand meridian exercise on psychological status and rehabilitation outcomes of patients with intestinal obstruction.Methods A total of 96 patients with intestinal obstruction admitted to Department of Gastroenterology Surgery,Suzhou First People’s Hospital of Anhui Province from January 2022 to December 2023 were selected as the research subjects.They were divided into the control group and the observation group by using random number table method,with 48 cases in each group.The control group received routine nursing intervention,while the observation group received focused psychological nursing combined with hand meridian exercise intervention.Clinical efficacy and rehabilitation indicators between the two groups were compared.Visual analog scale(VAS),self-rating anxiety scale(SAS),self-rating depression scale(SDS)scores,micro-inflammatory markers,intestinal barrier biochemical markers levels,and helper T cell(Th)1/Th2 between the two groups before and after nursing were compared.Results Clinical efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Disappearance time of abdominal pain,recovery time of bowel sounds,anal exhaust time and defecation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in VAS,SAS and SDS scores between the two groups(P>0.05).After nursing,VAS,SAS and SDS scores of both groups were lower than before nursing,the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in the levels of interleukin-6(IL-6),high-sensitivity C-reactive protein(hs-CRP)and tumor necrosis factor-α(TNF-α)between the two groups(P>0.05).After nursing,the levels of IL-6,hs-CRP and TNF-αin the two groups were lower than before nursing,the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in the levels of diamine oxidase,D-lactate,and Th1/Th2 between the two groups(P>0.05).After nursing,the levels of diamine oxidase and D-lactate in both groups were lower than before nursing,Th1/Th2 in both groups was higher than before nursing,the levels of diamine oxidase and D-lactate in the observation group were lower than those in the control group,Th1/Th2 in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Focused psychological nursing combined with hand meridian exercises has significant psychological regulatory effect on patients with intestinal obstruction.It can effectively improve rehabilitation outcomes,shorten recovery time,reduce pain and anxiety-depression emotions,alle viate inflammatory responses,and improve intestinal barrier function.