综合管理与认知干预相结合对患者合作和消化内镜期间并发症的影响
1Digestive Endoscopy Center, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu Province, China.
World journal of gastrointestinal surgery
|December 9, 2024
概括
综合管理和认知干预显著改善了患者的合作,并减少了早期胃肠道瘤内镜期间的并发症. 这种方法可以减轻焦虑和不适,从而使检查过程更加顺利.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 心理学 心理学 心理学
背景情况:
- 消化道癌的发病率不断上升,需要改进诊断和治疗工具.
- 消化内镜对于早期胃肠道瘤管理至关重要,但面临着患者合作和并发症的挑战.
- 在内镜检查过程中患者的不良合作可能会增加不良事件的风险.
研究的目的:
- 评估综合管理和认知干预对患者合作和早期胃肠道瘤内镜期间并发症率的影响.
- 评估联合干预策略在增强内镜检查经验方面的有效性.
主要方法:
- 一项随机控制的盲人试验,涉及354名患有早期胃肠道癌症的患者,接受消化内镜检查.
- 患者被分为观察组 (综合管理+认知干预) 和对照组 (例行干预).
- 测量的主要结果包括情绪,不适,检查时间,合作和并发症发生率.
主要成果:
- 与对照组相比,观察组的焦虑和抑郁评分明显较低 (P <0.05).
- 观察组的患者报告说,不适感较少,检查时间较短,合作率更高 (94.35% vs 84.75%;P < 0.05).
- 副作用的发生率,包括窒息,腹痛和肌肉紧张,在观察组显著降低 (P <0.05).
结论:
- 综合管理和认知干预有效地缓解情绪障碍,减少患者在内镜检查期间的不适.
- 这种综合方法显著改善了患者的合作,并缩短了早期胃肠道瘤手术的检查时间.
- 这些干预措施明显减少了与消化内镜相关的并发症的发生率.
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