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Effects of silent therapy combined with cognitive intervention on stress response and intestinal preparation quality of patients undergoing electronic colonoscopy#br# |
YUAN Yuhan DING Jing▲ |
Department of Endoscopy Center, Jiangsu Province Hospital, Jiangsu Province, Nanjing 210029, China |
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Abstract Objective To explore the effect of silent therapy combined with cognitive intervention in patients undergoing electronic colonoscopy. Methods A total of 113 patients with electronic colonoscopy booked in Jiangsu Province Hospital from April 2019 to May 2020 were selected. The patients were divided into observation group (57 cases) and control group (56 cases) by random number table method. Control group was given routine nursing intervention, on the basis of control group, observation group was given silent therapy combined with cognitive intervention. Stress response, intestinal preparation compliance, preparation quality, and adverse reactions were compared between the two groups. Results After the intervention, the scores of self rating anxiety scale (SAS) and self rating depression scale (SDS) in the two groups were lower than those before intervention, while the heart rate (HR) and systolic blood pressure (SBP) were higher than those before intervention, SAS, SDS, HR, and SBP in observation group were lower than those in control group (P < 0.05). Diet preparation, medication preparation, bowel preparation compliance, and Boston bowel preparation scale score in observation group were higher than those in control group (P < 0.05), and the rate of adequate preparation was higher than that of control group (P < 0.05), and the incidence of adverse reactions was lower than that of control group (P < 0.05). Conclusion Silent therapy combined with cognitive intervention can alleviate the psychological and physiological stress response of patients undergoing electronic colonoscopy, improve the compliance behavior and quality of intestinal preparation, and reduce the occurrence of adverse reactions during colonoscopy.
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[1] Johnson DA,Barkun AN,Cohen LB,et al. Optimizing adequacy of bowel cleansing for colonoscopy recommendations form the US multi-society task force on colorectal cancer [J]. Gastreonterology,2014,147(4):903-924.
[2] 杜奕奇,汪鹏,王邦茂,等.中国消化内镜诊疗肠道准备指南(草案)[J].中国消化杂志,2013,33(9):705-707.
[3] 杨嫚,王静,毋玉凤,等.肠镜检查前清肠教育对肠道准备质量的影响[J].胃肠病学和肝病学杂志,2019,28(2):194.
[4] 沈迁,刘雪梅,胡海荣,等.背景音乐联合心理干预对结肠镜检查患者应激反应的影响[J].宁夏医学杂志,2018, 40(6):563-564.
[5] 王玉娟,程芳,马静,等.静默疗法于白内障手术患者中的效果评价[J].中华护理杂志,2016,51(3):321-325.
[6] 邓嘉静.静默疗法在急性闭角型青光眼急性发作期患者中的效果[J].眼科学报,2020,35(3):204-209.
[7] 汪向东,王希林,马弘,编著.心理卫生评定量表手册[J].中国心理卫生杂志,1999(增刊):194-202.
[8] 于文蓁,柴红,马巾茹.短视频教育对结肠镜检查肠道准备质量的影响[J].临床消化病杂志,2016,28(5):269-272.
[9] Lai EJ,Calderwood AH,Doros G,et al. The Boston Bowel Preparation Scale: A Valid and reliable instrument for colonoscopy-roiented research [J]. Gastrointest Endosc,2009,69:620-625.
[10] Serper M,Gawron AJ,Smith SG,et al. Patient factors that affect quality of colonoscopy preparation [J]. Clin Gastroenterol Hepatol,2014,12(3):451-457.
[11] 胡凯风,汪文生,孙斌.不含硫酸钠聚乙二醇电解质溶液对结肠镜前肠道准备的效果评价[J].中国医药导报,2020,17(31):115-117,121.
[12] 宋杰,曲桂玉,林云英,等.老年人结肠镜检查肠道准备不良影响因素的Meta分析[J].中国老年学杂志,2020, 40(3):548-552.
[13] 封莉,宋燕明,张丽,等.肝硬化患者肠镜检查前肠道准备质量及其影响因素分析[J].北京医学,2020,42(10):1032-1035.
[14] Pillai A,Menon R,Oustecky D,et al. Educational Colon-oscopy Video Enhances Bowel Preparation Quality and Comprehension in an Inner City Population [J]. J Clin Gastroenterol,2018,52(6):515-518.
[15] 李春华,刘祖明,赵年,等.电子结肠镜介入治疗小儿大肠息肉的应用价值分析[J].现代消化及介入诊疗,2019, 24(5):504-507.
[16] 陈浩漩,董玉杰.661例便血患者电子直肠镜检查结果回顾性分析[J].现代消化及介入诊疗,2020,25(4):122-125.
[17] 权良伟,郭庆涛,王慧,等.住院期间再教育在结肠镜检查患者肠道准备中的应用价值研究[J].山西医药杂志,2019,48(5):623-625.
[18] 姜琳,任春蓉,赵萍,等.彩色图文健康教育对老年结肠镜检查肠道准备的效果观察[J].肿瘤预防与治疗,2017, 30(4):291-294.
[19] Shafer LA,Wlaker JR,Waldman C,et al. Factors Associated with Anxiety About Colonoscopy:The Preparation,the Procedure,and the Anticipated Findings [J]. Dig Dis Sci,2018,63(3):610-618.
[20] 贾利军,屈清荣,王文田,等.虚拟现实技术对结肠镜检查患者疼痛和焦虑的影响[J].护理学杂志,2020,35(21):22-25.
[21] Wolpe J,Brady JP,Serber M,et al. The current status of systematic densitization [J]. Am J Phychiatry,1973,130(9):961-965.
[22] 朱艳辉.静默疗法对妇科肿瘤手术病人应激反应的效果评价[J].全科护理,2018,16(18):2260-2261.
[23] 朱应春.静默疗法对老年直肠癌患者术后睡眠和不良情绪的影响[J].国际精神病学杂志,2020,47(4):194-196.
[24] 申家美.三线放松法对初产妇产前分娩恐惧和妊娠结局的影响[J].中国实用护理杂志,2020,36(10):741-746.
[25] 李恒健.白内障手术患者术前应用静默疗法对其焦虑和手术配合度的影响[J].中国实用乡村医生杂志,2019,K26(7):55-57,60.
[26] Avvenuti G,Leo A,Cecchetti L,et al. Reductions in perceived stress following Transcendental Meditation practice are associated with increased brain regional connectivity at rest [J]. Brain Cogn,2020,139:105517.
[27] 翟书静.静默疗法联合认知行为干预对剖宫产产妇入待产室后不良心理状态及自我效能的影响分析[J].现代诊断与治疗,2020,31(19):3169-3170. |
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