摘要
目的 探讨在上消化道出血患者进行治疗的过程中,由护理人员为其提供心理护理联合预见性护理的价值,并分析该方案对患者心理状态的影响。方法 由研究人员在随机情况下选择2021年2月~2023年2月这一时间范围内,在我院通过相关检查由医师确诊为上消化道出血的156例患者,以入院单双数分组后每组78例,对照组纳入的患者实施常规护理,观察组纳入的患者在对照组基础上实施心理护理联合预见性护理。统计护理干预前后患者焦虑及抑郁情绪变化,同时对并发症发生情况进行统计,同时分析护理前后患者应激状态变化。结果 观察组78例患者经心理护理联合预见性护理后,其焦虑、抑郁情绪较对照组明显降低(P<0.05);观察组记录的并发症发生率明显低于对照组(P<0.05);观察组的肾上腺素、去甲肾上腺素、血浆皮质醇,较对照组明显降低(P<0.05)。结论 在上消化道出血患者的治疗过程中,选择心理护理联合预见性护理既可改善其焦虑、抑郁状态,同时可缓解其应激状态,达到改善预后效果的目的。
Objective To explore the value of psychological care combined with predictive care provided by nursing staff during the treatment of patients with upper gastrointestinal bleeding,and to analyze the impact of this program on the psychological status of patients.Methods Researchers randomly selected 156 patients with upper gastrointestinal bleeding diagnosed by physicians in our hospital during the period from February 2021 to February 2023.After admission,78 patients in each group were divided into single and double numbers.Patients in the control group received routine care,while patients in the observation group received psychological care combined with predictive care on the basis of the control group.Statistics were made on the changes in the psychological state of anxiety and depression of patients before and after nursing intervention,as well as the occurrence of complications.At the same time,changes in the stress state of patients before and after nursing were analyzed.Results After psychological nursing combined with predictive nursing,the recorded anxiety and depression results of 78 patients in the observation group were significantly lower than those in the control group(P<0.05).The incidence of complications recorded in the observation group was significantly lower than that in the control group(P<0.05).The adrenaline,norepinephrine,and plasma cortisol recorded in the observation group were significantly lower than those in the control group(P<0.05).Conclusion During the treatment of patients with upper gastrointestinal bleeding,choosing psychological nursing combined with predictive nursing can not only improve their anxiety and depression status,but also alleviate their stress status,achieving the goal of improving the prognosis.
作者
汪茹
耿芊
贾婷婷
WANG Ru;GENG Qian;JIA Tingting(The First Affiliated Hospital of Xinjiang Medical University muqi 830000,China)
出处
《国际精神病学杂志》
2024年第1期325-328,共4页
Journal Of International Psychiatry
基金
新疆维吾尔自治区自然科学基金(编号:2020D01C245)。
关键词
心理护理
预见性护理
上消化道出血
心理状态
应激状态
Psychological nursing
Predictive care
Upper gastrointestinal bleeding
Mentality
Stress state
