摘要
目的:探讨患者决策辅助教育在经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)治疗胆总管结石患者中的应用及对其负性情绪、治疗依从性和术后并发症的影响。方法:采用随机数字表法,选取2021年1月至12月在皖北煤电集团总医院收治的100例行ERCP的胆总管结石患者,分为对照组和观察组,每组50例。对照组予以常规护理,观察组在对照组基础上给予患者决策辅助教育。比较2组干预前后焦虑自评量表(Self-Rating Anxiety Seale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)及治疗依从性、术后并发症、决策参与满意度。结果:观察组干预后SAS评分、SDS评分均明显低于对照组,差异均有统计学意义(均P<0.05)。观察组治疗依从性良好率、擅自进食率及术后并发症发生率均低于对照组,差异均有统计学意义(均P<0.05)。观察组术后决策参与满意度量表评分明显高于对照组(P<0.05)。结论:患者决策辅助教育可有效缓解胆总管结石患者的负性情绪,提高治疗依从性和决策参与满意度,降低术后并发症发生风险。
Objective:To explore the application of patient decision-making assistance education in patients with common bile duct stones undergoing endoscopic retrograde cholangiopancreatography(ERCP)and its effect on negative emotions,treatment compliance,and postoperative complications.Methods:Through the random number table method,a total of 100 common bile duct stones patients undergoing ERCP in General Hospital of Wanbei Coal and Electricity Group from January to December 2021 were selected and divided into a control group and an observation group,with 50 cases in each group.The control group received routine intervention,and the observation group added patient decision-making assistance education on the basis of the control group.The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),treatment compliance,postoperative complications,and decision making participation satisfaction were compared between the 2 groups before and after the intervention.Results:The SAS score and SDS score in the observation group after the intervention were significantly lower than those in the control group(P<0.05).Compared with the control group,the good rate of treatment compliance,the unauthorized eating rate in the observation group were significantly higher,and the incidence of postoperative complications was significantly lower(all P<0.05).Compared with the control group,the score of decision-making participation satisfaction scale in the observation group was significantly higher(P<0.05).Conclusion:Patient decision-making assistance education can significantly relieve the negative emotions of ERCP patients,improve treatment compliance and satisfaction after decision-making participation,and reduce the risk of postoperative complications.
作者
薛文文
XUE Wenwen(Department of Hepatobiliary Surgery,General Hospital of Wanbei Coal and Electricity Group,Suzhou Anhui 234000,China)
出处
《临床与病理杂志》
CAS
2023年第2期366-371,共6页
Journal of Clinical and Pathological Research
关键词
胆总管结石
经内镜逆行胰胆管造影
患者决策辅助教育
负性情绪
治疗依从性
术后并发症
common bile duct stone
endoscopic retrograde cholangiopancreatography
patient decision-making auxiliary education
negative emotions
treatment compliance
postoperative complications
