Objective: to explore the effect of psychological intervention combined with detailed nursing on stress response and examination cooperation degree of patients undergoing digestive endoscopy. Methods: 206 patients und...Objective: to explore the effect of psychological intervention combined with detailed nursing on stress response and examination cooperation degree of patients undergoing digestive endoscopy. Methods: 206 patients undergoing digestive endoscopy in our hospital from March 2021 to December 2021 were selected as the research objects, and divided into control group and observation group according to the principle of comparability of basic characteristics between groups, with 103 cases in each group. The control group received routine nursing while the observation group received psychological intervention combined with detailed nursing. The stress response, psychological state and cooperation degree of the two groups were compared. Results: after psychological intervention combined with detailed nursing intervention, the heart rate, systolic blood pressure and diastolic blood pressure of patients in the observation group were significantly lower than those in the control group 5 minutes before endoscopic examination (P < 0.05). The heart rate and systolic blood pressure of the observation group were significantly lower than those of the control group 5 minutes after the examination (P<0.05). Before psychological intervention combined with detailed nursing, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). 6 hours after the intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The overall coordination degree of the observation group was significantly higher than that of the control group (P<0.05). Conclusion psychological intervention combined with detailed nursing can significantly reduce patients' stress reaction, improve patients' cooperation degree, and relieve patients' anxiety and depression.展开更多
Objective To explore the dynamic changes of self-reported symptoms in patients with hepatocellular carcinoma treated with interventional immunotherapy and targeted therapy at different time points after treatment,and ...Objective To explore the dynamic changes of self-reported symptoms in patients with hepatocellular carcinoma treated with interventional immunotherapy and targeted therapy at different time points after treatment,and to construct a management and early warning system based on patients'self-reported outcomes for clinical symptom management,so as to provide the basis for correct assessment of symptoms and scientific intervention in such patients.Methods The convenience sampling method was used to select 130 patients who received interventional combined immunotherapy for liver cancer and were diagnosed and treated in the liver surgery department of a tertiary hospital in Guangdong Province from September 2023 to March 2024 for investigation.A longitudinal study was conducted at the first week(W1),the second week(W2)and the third week(W3)after interventional therapy using the general information questionnaire and the patient self-report questionnaire.Results One hundred fifty questionnaires were collected in this study,and 130 were valid.The effective recovery rate was 86.7%.Among the 16 patient-reported symptoms,pain(73.8%),fatigue(67.7%),and insomnia(53.1%)ranked the top three in the first week of self-reported symptoms;The top three in the second week were pain(60%),fatigue(56.9%),insomnia(50.8%),and the top three in the third week were fatigue(49.2%),pain(48.5%),insomnia(44.6%).The incidence and severity of self-reported symptoms decreased with time.Conclusion Medical staff should evaluate and intervene the stable symptoms reported by the patients as early as possible,establish the early warning and intervention management plan of the symptoms,and incorporate the intervention of the symptoms reported by the patients into the daily nursing work,so as to improve the experience of interventional immunotherapy and targeted therapy and improve the quality of life of the patients with hepatocellular carcinoma.展开更多
文摘Objective: to explore the effect of psychological intervention combined with detailed nursing on stress response and examination cooperation degree of patients undergoing digestive endoscopy. Methods: 206 patients undergoing digestive endoscopy in our hospital from March 2021 to December 2021 were selected as the research objects, and divided into control group and observation group according to the principle of comparability of basic characteristics between groups, with 103 cases in each group. The control group received routine nursing while the observation group received psychological intervention combined with detailed nursing. The stress response, psychological state and cooperation degree of the two groups were compared. Results: after psychological intervention combined with detailed nursing intervention, the heart rate, systolic blood pressure and diastolic blood pressure of patients in the observation group were significantly lower than those in the control group 5 minutes before endoscopic examination (P < 0.05). The heart rate and systolic blood pressure of the observation group were significantly lower than those of the control group 5 minutes after the examination (P<0.05). Before psychological intervention combined with detailed nursing, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). 6 hours after the intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The overall coordination degree of the observation group was significantly higher than that of the control group (P<0.05). Conclusion psychological intervention combined with detailed nursing can significantly reduce patients' stress reaction, improve patients' cooperation degree, and relieve patients' anxiety and depression.
基金funded by Guangdong Medical Science and Technology Research(A2022031).
文摘Objective To explore the dynamic changes of self-reported symptoms in patients with hepatocellular carcinoma treated with interventional immunotherapy and targeted therapy at different time points after treatment,and to construct a management and early warning system based on patients'self-reported outcomes for clinical symptom management,so as to provide the basis for correct assessment of symptoms and scientific intervention in such patients.Methods The convenience sampling method was used to select 130 patients who received interventional combined immunotherapy for liver cancer and were diagnosed and treated in the liver surgery department of a tertiary hospital in Guangdong Province from September 2023 to March 2024 for investigation.A longitudinal study was conducted at the first week(W1),the second week(W2)and the third week(W3)after interventional therapy using the general information questionnaire and the patient self-report questionnaire.Results One hundred fifty questionnaires were collected in this study,and 130 were valid.The effective recovery rate was 86.7%.Among the 16 patient-reported symptoms,pain(73.8%),fatigue(67.7%),and insomnia(53.1%)ranked the top three in the first week of self-reported symptoms;The top three in the second week were pain(60%),fatigue(56.9%),insomnia(50.8%),and the top three in the third week were fatigue(49.2%),pain(48.5%),insomnia(44.6%).The incidence and severity of self-reported symptoms decreased with time.Conclusion Medical staff should evaluate and intervene the stable symptoms reported by the patients as early as possible,establish the early warning and intervention management plan of the symptoms,and incorporate the intervention of the symptoms reported by the patients into the daily nursing work,so as to improve the experience of interventional immunotherapy and targeted therapy and improve the quality of life of the patients with hepatocellular carcinoma.
