关于纤维胃镜检查病人的应激与心理准备的实验研究——Ⅱ镜检期间病人的心理和行为变化及心理准备的效果

Comprehensive effects of psychological preparation on the stress reactions to upper gastrointestinal endoscopy examination (Ⅱ):Psychological and behavioral changes and the effects of psychological preparation/

本实验研究观测了三组(实验组—心理准备和常规准备;对照一组—注意、安慰剂对照组;对照二组—只做常规准备)病人胃镜检查期间的心理反应和行为变化以及心理准备的效果。结果表明:镜检引起病人焦虑、恐惧和痛苦等心理反应,也造成皱眉、恶心呕吐、流泪等行为改变。镜检期间实验组病人客观痛苦行为总评分,检查前与后状态性焦虑得分,均显著低于两个对照组。实验组病人的配合程度、插管顺利程度均好于两个对照组,插管所需时间显著少于两个对照组。就某些指标而言,两个对照组间也有显著差异。

In the present study,psychological and behavioral changes of patients during theupper gastronintestinal endoscopy examination and effects of three preparation conditions were as-sessed.The psychological stress responese,such as anxiety,fear,discomfort and distress,were re-ported;behavioral changes,such as the brows knitted,nausea,vomiting and tearing,were observed.Patients in the experimental group(psychological plus routine preparation)showed markedly lowerscores on measures of objective behavioral distress and anxiety.They also tended to cooperate betterwith doctor during the examination,needing much shorter time for endoscopy insertion than the twocontrol groups.Differences in some index was observed between thd two control groups,probably ex-isting some placebo-like effect in attention-placebo group.