摘要
目的:探讨丁卡因胶浆联合全程心理干预在膀胱镜检查手术中的应用效果,为减少患者并发症和生理心理不适提供可行方法。方法:选择2017年1-12月某院收治的膀胱镜检查患者451例,依据随机数字表法分为对照组(n=225)和治疗组(n=226),治疗组采用丁卡因胶浆联合全程心理干预,对照组采用达克罗灵胶浆联合常规心理干预,检查后采用视觉模拟评分量表(VAS)评估两组的疼痛程度,并采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组干预前后的负性情绪,采用心理弹性量表(CD-RISC)评估两组干预前后的心理弹性,比较两组接受检查的依从性和对干预的满意度。结果:治疗组在膀胱镜检查中的疼痛情况明显优于对照组(Z=4.494,P<0.05);干预后,治疗组的SAS、SDS评分均明显低于对照组(t=5.499,4.307;P<0.05),CD-RISC各维度评分均显著高于对照组(t=9.386,8.081,6.764;P<0.05);且治疗组患者的依从性高于对照组,满意度亦明显高于对照组(χ~2=8.076,5.147;P<0.05)。结论:丁卡因胶浆联合全程心理干预应用于膀胱镜检查手术中,有助于减轻患者心理生理不适反应,提高患者检查的依从性,保证检查顺利完成;同时提高了患者的满意度,值得临床推广应用。
Objective:To investigate the effect of tetracaine mucilage combined with whole-course psychological intervention in cystoscopy surgery,and to provide a feasible method to reduce complications and physiological and psychological discomfort of patients.Methods:A total of 451 cystioscopy patients admitted to our hospital from January 2017 to December 2017 were selected.According to the random number table method,they were divided into con trol group(n=225)and treatment group(n=226).The treatment group was treated with tetracaine mucilage combined with whole process psychological intervention,and the control group was treated with dactyline mucilage combined with routine psychological intervention.After checking with visual analogue scale scale(VAS)to assess the pain degree of the two groups,and USES the self-evaluation of anxiety scale(SAS)and depression self rating scale(SDS)evaluation in the two groups before and after the intervention of negative emotions,adopting the psychological scale(CD-RISC)to evaluate two groups before and after the intervention of mental flexibility,compare two groups accept check compliance and satisfaction of intervention.Results:The pain of cystoscopy in the treatment group was significantly better than that in the control group(Z=4.494,P<0.05).After intervention,SAS and SDS scores in the treatment group were significantly lower than those in the control group(t=5.499,4.307;P<0.05),and CD-RISC scores were significantly higher than those in the control group(t=9.386,8.081,6.764;P<0.05).The compliance and satisfaction of patients in the treatment group were significantly higher than those in the control group(χ2=8.076,5.147;P<0.05).Conclusion:The application of tetracaine mucilage combined with whole-course psychological intervention in cystoscopy is helpful to relieve patients'psychological and physiological discomfort,improve patients'compliance and ensure the smooth completion of the examination.At the same time,the satisfaction of patients is improved,which is worthy of clinical application.
作者
陈欣
周杰
代丽珺
谢晓秀
池永玲
赵晴
罗芳
杨方兰
CHEN Xin;ZHOU Jie;DAI Lijun;XIE Xiaoxiu;CHI Yongling;ZHAO Qing;LUO Fang;YANG Fanglan(Anesthesia Surgery Center,363 Hospital,Chengdu 610000,China)
出处
《中国健康心理学杂志》
北大核心
2023年第7期1052-1056,共5页
China Journal of Health Psychology
基金
国家科技支撑计划项目(编号:2019BAJ02B03)。
关键词
膀胱镜检查
丁卡因胶浆
全程心理干预
生理心理不适
依从性
满意度
Cystoscopy
Tetracaine mortar
Whole-course psychological intervention
Physical and psychological discomfort
Compliance
Satisfaction
