赋能健康教育及预见性干预模式对胰十二指肠切除术患者心理及疼痛的影响

The impact of empowering health education and predictive intervention models on the psychology and pain of patients undergoing pancreaticoduodenectomy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

郑州大学第一附属医院

摘要
[摘要]目的:探讨赋能健康教育及预见性干预模式对胰十二指肠切除术患者心理及疼痛的影响。方法:2022年1月~2023年6月期间,选取胰十二指肠切除术患者94例,分组方法为随机数字表法,分为对照组(47例,常规干预模式)和研究组(47例,赋能健康教育及预见性干预模式),比较两组手术相关指标、心理情绪、疼痛和并发症。结果:与对照组比较,研究组肛门排气时间、肛门排便时间、下床活动时间、引流管拔除时间、住院时间更短(P<0.05)。与干预前比较,两组干预3个月医院焦虑抑郁量表-焦虑(HADS-A)、医院焦虑抑郁量表-抑郁(HADS-D)评分降低(P<0.05),且与对照组比较,研究组干预3个月HADS-A、HADS-D评分更低(P<0.05)。整体比较,视觉模拟评分法(VAS)评分的时间、组间、交互(时间与组间)比较,均有统计学意义(P<0.05);LSD-t得出,与对照组比较,研究组术后24h、48h、72h的VAS评分更低(P<0.05)。与对照组的并发症发生率46.81%比较,研究组的23.40%更低(P<0.05)。结论:赋能健康教育及预见性干预模式应用于胰十二指肠切除术患者,可缓解不良心理情绪,减轻术后疼痛,降低并发症,促进患者更快康复。
Abstract
【Abstract】Objective:Exploring the impact of empowering health education and predictive intervention models on the psychological and pain outcomes of patients undergoing pancreaticoduodenectomy.Methods:From January 2022 to June 2023, 94 patients undergoing pancreaticoduodenectomy were selected and divided into a control group (47 cases, conventional intervention mode) and a study group (47 cases, empowering health education and predictive intervention mode) using a random number table method. The surgical related indicators, psychological emotions, pain, and complications were compared between the two groups.Result:Compared with the control group, the study group had shorter anal exhaust time, anal defecation time, mobilization time, drainage tube removal time, and hospital stay (P<0.05). Compared with before intervention, the hospital anxiety and depression scale anxiety (HADS-A) and hospital anxiety and depression scale depression (HADS-D) scores of the two groups decreased after 3 months of intervention (P<0.05), and compared with the control group, the study group had lower HADS-A and HADS-D scores after 3 months of intervention (P<0.05). Overall, the time, inter group, and interaction (time and inter group) comparisons of Visual Analog Scale (VAS) scores were statistically significant (P<0.05); LSD-t showed that compared with the control group, the study group had lower VAS scores at 24h, 48h, and 72h after surgery (P<0.05). Compared with the control group, the incidence of complications was 46.81%, and the study group had a lower incidence of 23.40% (P<0.05).Conclusion:The application of empowering health education and predictive intervention models in patients undergoing pancreaticoduodenectomy can alleviate negative psychological emotions, alleviate postoperative pain, reduce complications, and promote faster recovery.
关键词
[关键词]胰十二指肠切除术;赋能健康教育;预见性干预;不良情绪;术后疼痛
KeyWord
【Key words】Pancreaticoduodenectomy; Empowering health education; Predictive intervention; Negative emotions; Postoperative pain
基金项目
页码 597-601
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李晓莉. 赋能健康教育及预见性干预模式对胰十二指肠切除术患者心理及疼痛的影响 [J]. 国际精神病学杂志. 2025; 52; (2). 597 - 601.

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