行为训练结合情绪引导对支气管镜检查患者配合度及生理应激反应的影响

Influence of behavioral training combined with emotional guidance on cooperation and physiological stress response of patients undergoing bronchoscopy

  • 摘要:
    目的 分析行为训练结合情绪引导对支气管镜检查患者配合度及生理应激反应的影响。
    方法 本研究为前瞻性干预实验,选取182例局麻下支气管镜检查患者为研究对象,按照随机数字表法分成A组(n=91)与B组(n=91)。A组予以常规护理, B组予以行为训练结合情绪引导。观察并比较2组的检查配合度、生理应激反应、焦虑状况、舒适度。
    结果 B组检查配合度为93.41%, 高于A组的83.52%, 差异有统计学意义(P < 0.05)。干预后, 2组血氧饱和度(SpO2)低于干预前,心率(HR)、收缩压(SBP)和舒张压(DBP)高于干预前,差异有统计学意义(P < 0.05)。干预后, B组SpO2降幅低于A组, HR、SBP、DBP升幅低于A组,差异有统计学意义(P < 0.05)。干预后, B组焦虑自评量表(SAS)评分为(47.41±3.83)分,低于A组的(51.49±3.91)分,差异有统计学意义(P < 0.05)。B组的舒适度为91.21%, 高于A组的79.12%, 差异有统计学意义(P < 0.05)。
    结论 行为训练结合情绪引导可提高支气管镜检查患者的配合度,减轻其生理应激反应与焦虑程度,提升舒适度。

     

    Abstract:
    Objective To analyze the impact of behavioral training combined with emotional guidance on cooperation and physiological stress response of patients undergoing bronchoscopy.
    Methods This study was a prospective intervention experiment, and 182 patients who underwent bronchoscopy under local anesthesia were selected as the research subjects. They were divided into group A (n=91) and group B (n=91) according to the random number table method. The group A received routine nursing care, while group B received behavioral training combined with emotional guidance. The examination cooperation degree, physiological stress response, anxiety status and comfort level of the two groups were observed and compared.
    Results The examination cooperation degree of the group B was 93.41%, which was significantly higher than 83.52% of the group A (P < 0.05). After the intervention, the blood oxygen saturation (SpO2) in both groups was significantly lower than that before the intervention, while the heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher than those before the intervention (P < 0.05). After the intervention, the decrease in SpO2 in the group B was significantly lower than that in the group A, and the increases in HR, SBP and DBP were significantly lower than those in the group A (P < 0.05). After the intervention, the Self-rating Anxiety Scale (SAS) score in the group B was (47.41±3.83) points, which was significantly lower than (51.49±3.91)points in the group A (P < 0.05). The comfort level in the group B was 91.21%, which was significantly higher than 79.12% in the group A (P < 0.05).
    Conclusion Behavioral training combined with emotional guidance can enhance the cooperation of patients undergoing bronchoscopy, reduce their physiological stress response and anxiety level, and improve their comfort.

     

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