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心理干预疗法对老年尿路造影患者心理状态和不良反应的影响

Effect of Psychological Intervention Therapy on Psychological Status and Adverse Reactions in Elderly Patients with IVP
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摘要 目的:探讨心理干预疗法对老年静脉尿路造影(IVP)患者心理状态和不良反应的影响。方法:收集我院2015年2月-2017年2月收治的80例老年IVP患者,根据患者入院顺序将其分为对照组和观察组各40例。所有患者均给予碘过敏试验、基础指导等基础干预,观察组在上述基础上给予心理干预疗法,采用临床常用的抑郁量表(SDS)、焦虑量表(SAS)进行评估两组干预前后的心理状态变化,统计两组IVP不良反应情况。结果:观察组IVP后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分较对照组IVP后低,差异具有统计学意义(t=-5.639,-12.010;P〈0.001);观察组IVP不良反应率25.00%(10/40)低于对照组45.00%(18/40),差异显著(χ~2=4. 645,P 〈0. 031)。结论:心理干预疗法有助于减轻老年IVP患者焦虑、抑郁心理,有助于IVP的顺利完成和降低不良反应率,临床应用价值显著。 Objective:To investigate the effect of psychological intervention on psychological status and adverse reactions in elderly patients with IVP.Methods:A total of 80 elderly patients with IVP in our hospital from February 2015 to February2017 were enrolled.They were divided into control group and observation group according to the order of admission,with 40 patients in each group.All patients were given iodine allergy test,basic instruction;The observation group received psychological intervention therapy,and the self-rating depression table( SDS),self-rating,anxiety scale( SAS) were evaluated in the two groups before and after the intervention and adverse reactions of IVP was analyzed.Results:The SAS and SDS scores of the observation group after IVP were significantly lower than those of the control group after IVP( t =-5.639,-12.010;P〈0.05).The adverse reaction rate of IVP in observation group was 25%( 10/40),which was lower than that of control group45%( 18/40),and the difference was significant( χ~2= 4.645,P〈0.05). Conclusion:Psychological intervention therapy can help to reduce anxiety and depression in elderly patients with IVP.It is helpful for the successful completion of IVP and the reduction of adverse reaction rate.
作者 何江玲 邱英 李勤 秦丽娟 HE Jiangling;QIU Ying;LI Qin(Urology Surgery,Xiangyang Central Hospital,Xiangyang 441021,China)
出处 《中国健康心理学杂志》 2018年第12期1827-1829,共3页 China Journal of Health Psychology
关键词 静脉尿路造影 老年 心理干预 不良反应 Intravenous urography Elderly Psychological intervention Adverse reactions
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