Abstract:

Objective　To explore the application of health education intervention based on biphasic communication in perioperative nursing of endoscopic retrograde cholangiopancreatography (ERCP) patients. Methods　A randomized controlled trial of 460 ERCP patients admitted to Peking University Shenzhen Hospital from May 2021 to May 2023 was conducted. The patients were divided into a control group and an observation group by the random number table method with 230 cases in each group. In the control group, 110 males and 120 females, aged (52.49±6.27) years, were treated with routine intervention. In the observation group, 115 males and 115 females, aged (51.53±6.29) years, were treated with health education intervention based on biphasic communication. The negative emotion score, disease knowledge mastery, and postoperative complications were compared between the two groups. Statistical methods used were t test and χ² test. Results　The scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group after intervention were lower than those in the control group [(6.74±1.04) points vs. (8.37±1.03) points, (6.37±1.04) points vs. (8.69±1.18) points], with statistically significant differences (t=16.889 and 22.369, both P<0.05). After intervention, the mastery degrees of disease knowledge, psychological counseling, drug guidance, and diet and exercise of the observation group were higher than those of the control group [95.22% (219/230) vs. 67.39% (155/230), 90.00% (207/230) vs. 70.43% (162/230), 85.22% (196/230) vs. 63.91% (147/230), 90.00% (207/230) vs. 72.17% (166/230)], with statistically significant differences (χ²=58.579, 27.741, 27.521, and 23.829, all P<0.05). The total complication rate of the observation group was lower than that of the control group [3.04% (7/230) vs. 12.17% (28/230)], with a statistically significant difference (χ²=13.638, P<0.05). Conclusion　The application of health education based on biphasic communication in ERCP patients has the advantages of alleviating the negative emotions, improving the mastery of disease knowledge, and reducing the incidence of complications, which is worth promoting.

Key words:

Endoscopic retrograde cholangiopancreatography, Perioperative period, Biphasic communication, Health education

摘要：

目的　探讨基于双相交流的健康宣教干预在经内镜逆行胆胰管成像（ERCP）患者围手术期护理中的应用效果。方法　选取2021年5月至2023年5月期间北京大学深圳医院收治的460例ERCP患者进行随机对照试验，通过随机数字表法将患者分为对照组与观察组，各230例。对照组男110例，女120例，年龄（52.49±6.27）岁，采用常规干预。观察组男115例，女115例，年龄（51.53±6.29）岁，采用基于双相交流的健康宣教干预。比较两组负性情绪评分、疾病知识掌握度与术后并发症发生情况。统计学方法采用t检验、χ²检验。结果　观察组干预后的焦虑自评量表（SAS）和抑郁自评量表（SDS）评分均低于对照组［（6.74±1.04）分比（8.37±1.03）分、（6.37±1.04）分比（8.69±1.18）分］，差异均有统计学意义（t=16.889、22.369，均P<0.05）。观察组干预后疾病知识、心理咨询、药物指导、饮食运动掌握度均高于对照组［95.22%（219/230）比67.39%（155/230）、90.00%（207/230）比70.43%（162/230）、85.22%（196/230）比63.91%（147/230）、90.00%（207/230）比72.17%（166/230）］，差异均有统计学意义（χ²=58.579、27.741、27.521、23.829，均P<0.05）。观察组患者的总并发症发生率低于对照组［3.04%（7/230）比12.17%（28/230）］，差异有统计学意义（χ²=13.638，P<0.05）。结论　基于双相交流的健康宣教应用于ERCP患者，具有缓解负性情绪、提高疾病知识掌握度、降低并发症发生率等优点，值得推广。

关键词:

经内镜逆行胆胰管成像, 围手术期, 双相交流, 健康宣教