摘要
目的:探讨多维度心理支持联合预见性护理在复发性胆总管结石患者行经内镜逆行性胰胆管造影术(ERCP)围手术期的应用价值。方法:选取60例复发性胆总管结石患者再次行ERCP术作为研究对象,根据随机数表法分为观察组(多维度心理支持联合预见性护理干预)与对照组(常规护理)各30例,比较两组患者护理干预期间的并发症发生率、干预前后的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、舒适状况量表(GCQ)、主观幸福感(IWB)、生活质量量表(SF-36)评分以及护理满意度。结果:观察组患者术后高淀粉血症及总体并发症发生率均显著低于对照组(P<0.05);观察组患者HAMA评分、HAMD评分均低于对照组(P<0.05);两组患者治疗后GCQ评分均增高,且观察组患者评分高于对照组(P<0.05);护理干预后,观察组患者IWB中的正性情感得分高于对照组,负性情感评分低于对照组,生活质量评分高于对照组,差异均有统计学意义(P<0.05);观察组患者的护理总满意率高于对照组(P<0.05)。结论:多维度心理支持联合预见性护理干预可显著降低ERCP术后并发症,改善复发胆总管结石患者的焦虑、抑郁等负性情绪,加速患者康复,且其护理满意度高,值得临床推广。
Objective:To investigate the value of multidimensional psychological support combined with predictive nursing in the perioperative management of patients with recurrent Choledocholithiasis undergoing endoscopic retrograde cholangiopancreatography(ERCP).Methods:Sixty patients with recurrent Choledocholithiasis scheduled for repeat ERCP were enrolled and randomly assigned to an observation group(multidimensional psychological support combined with predictive nursing)or a control group(routine nursing),with 30 cases in each group.The two groups were compared in terms of complication rates during the nursing intervention period,Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores,General Comfort Questionnaire(GCQ)scores,Index of WellBeing(IWB),36-Item Short-Form Health Survey(SF-36)scores,and nursing satisfaction before and after the intervention.Results:The incidence of hyperamylasemia and overall postoperative complications was significantly lower in the observation group than those in the control group(P<0.05).HAMA and HAMD scores were significantly lower in the observation group(P<0.05).GCQ scores increased in both groups after the intervention,with higher scores observed in the observation group(P<O.05).Following nursing intervention,the observation group exhibited higher positive affect scores and lower negative affect scores on the IWB,as well as higher SF-36 scores compared with the control group(all P<O.05).Nursing satisfaction was also higher in the observation group(P<O.05).Conclusions:Multidimensional psychological support combined with predictive nursing can significantly reduce postoperative complications after ERCP,alleviate anxiety and depression in patients with recurrent Choledocholithiasis,accelerate postoperative recovery.
作者
周焕楠
李壮
ZHOU Huan-nan;LI Zhuang(The Chinese People's Armed Police Forces Anhui Provincial Corps Hospital,Hefei 230041,Anhui)
出处
《安徽医专学报》
2026年第1期53-56,共4页
Journal of Anhui Medical College
基金
安徽中医药大学科研基金项目(编号:2024LC062)。
关键词
多维度心理支持
预见性护理
胆总管结石
内镜下胰胆管造影术
心理状况
multidimensional psychological support
predictive nursing
choledocholithiasis
endoscopic retrograde cholangiopancreatography
psychological outcomes
