认知行为干预对内镜逆行胰胆管造影术前焦虑、抑郁的改善作用
Cognitive behavioral intervention improves anxiety and depression before endoscopic retrograde cholangiopancreatography
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| DOI |
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| 刊名 |
Journal of International Psychiatry
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| 年,卷(期) |
2025, 52(2) |
| 作者 |
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| 作者单位 |
南京医科大学第一附属医院,内镜中心
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| 摘要 |
【摘要】 目的 探讨认知行为干预对内镜逆行胰胆管造影术(Endoscopic retrograde cholangiopancreatography,ERCP)患者术前焦虑、抑郁的改善作用。方法 选取2023年1月~2024年1月于本院行ERCP患者216例进行研究,以随机数表法分为研究组和对照组,各108例。对照组进行常规护理干预,研究组在此基础上实施认知行为干预。比较两组患者配合度、情绪状态[采用焦虑自评量表(Self Rating Anxiety Scale,SAS)、抑郁自评量表(Self Rating Depression Scale,SDS)评估]、生活质量[采用胃肠道生活质量指数量表(gastrointestinal quality of life index,GIQLI)评估]和术后并发症发生率。结果 研究组患者配合度高于对照组(P<0.05)。干预后,两组患者SDS、SAS评分均降低,且研究组低于对照组(P<0.05)。干预后,两组患者GLQLI各项评分均升高,且研究组高于对照组(P<0.05)。研究组患者术后并发症发生率低于对照组(P<0.05)。结论 认知行为干预可有效改善ERCP患者焦虑、抑郁情绪,提高其生活质量。
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| Abstract |
【Abstract】 Objective To exploring the effect of cognitive behavioral intervention on the improvement of preoperative anxiety and depression in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP).Methods 216 patients who underwent ERCP in our hospital from January 2023 to January 2024 were selected for the study. They were randomly divided into a study group and a control group, with 108 cases in each group, using a random number table method. The control group received routine nursing intervention, while the study group received cognitive-behavioral intervention on this basis. Compare the cooperation, emotional status of two groups of patients [evaluated using the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS)], Quality of life [evaluated using the Gastrointestinal Quality of Life Index (GIQLI)] and incidence of postoperative complications.Results The cooperation level of the study group patients was higher than that of the control group (P<0.05). After intervention, the SDS and SAS scores of both groups of patients decreased, and the study group was lower than the control group (P<0.05). After intervention, the GLQLI scores of both groups of patients increased, and the study group was higher than the control group (P<0.05). The incidence of postoperative complications in the study group was lower than that in the control group (P<0.05).Conclusion Cognitive behavioral intervention can effectively improve anxiety and depression in ERCP patients, and enhance their quality of life.
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| 关键词 |
【关键词】 内镜逆行行胰胆管造影术;认知行为干预;焦虑;抑郁;生活质量
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| KeyWord |
【Key words】 Endoscopic retrograde cholangiopancreatography; Cognitive behavioral intervention; Anxiety; Depression; Quality of life
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| 基金项目 |
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| 页码 |
646-649 |
陈曦.
认知行为干预对内镜逆行胰胆管造影术前焦虑、抑郁的改善作用 [J].
国际精神病学杂志.
2025; 52; (2).
646 - 649.