人文关怀护理干预对行内镜下黏膜切除术患者的依从性及不良情绪的影响
The Impact of Humanistic Care Nursing Intervention on Compliance and Negative Emotions in Patients Undergoing Endoscopic Mucosal Resection
摘要: 目的:探讨予以内镜下黏膜切除术患者人文关怀护理干预对其依从性、不良情绪的影响。方法:选取本院内镜中心2024年1月~2025年9月予以内镜下黏膜切除术的患者58例,随机分2组,29例常规组常规护理,29例人文组人文关怀护理,对比两组依从性、不良情绪、手术并发症及术后恢复情况。结果:人文组依从性96.55%,较常规组的79.31%高(P < 0.05);人文组护理后自我感受负担量表(SPBS)、焦虑自评量表(SAS)评分较常规组低(P < 0.05);人文组3.45%发生手术并发症,较常规组的24.14%低(P < 0.05);人文组初次排气、进食、排便的时间及住院时长均较常规组短(P < 0.05)。结论:在内镜下黏膜切除术患者中,予以人文关怀护理干预有助于提升其依从性,并缓解不良情绪,减少并发症,进而使术后恢复加快。
Abstract: Objective: To explore the impact of humanistic care nursing intervention on compliance and negative emotions in patients undergoing endoscopic mucosal resection. Methods: Fifty-eight patients who underwent endoscopic mucosal resection in the endoscopy center of our hospital from January 2024 to September 2025 were randomly divided into two groups: 29 patients in the conventional group received routine care, and 29 patients in the humanistic group received humanistic care. The compliance, negative emotions, surgical complications, and postoperative recovery were compared between the two groups. Results: The compliance rate in the humanistic group was 96.55%, which was higher than that in the conventional group (79.31%) (P < 0.05); the scores of the Self-Perceived Burden Scale (SPBS) and the Self-Rating Anxiety Scale (SAS) in the humanistic group after nursing were lower than those in the conventional group (P < 0.05); the incidence of surgical complications in the humanistic group was 3.45%, which was lower than that in the conventional group (24.14%) (P < 0.05); the time to first flatus, first meal, and first defecation, as well as the length of hospital stay in the humanistic group were shorter than those in the conventional group (P < 0.05). Conclusion: Among patients undergoing endoscopic mucosal resection, providing humanistic care and nursing intervention can help improve their compliance, alleviate negative emotions, reduce complications, and thereby accelerate postoperative recovery.
文章引用:潘丽敏. 人文关怀护理干预对行内镜下黏膜切除术患者的依从性及不良情绪的影响[J]. 临床医学进展, 2025, 15(11): 1886-1891. https://doi.org/10.12677/acm.2025.15113296

参考文献

[1] 徐瑞霞, 洪燕玲, 江吴霞, 等. 个体化综合护理模式辅助内镜下黏膜切除术治疗结肠息肉的效果观察[J]. 中华全科医学, 2024, 22(12): 2167-2171.
[2] 周婷婷. 人文关怀护理在无痛内镜下黏膜切除术患者中的应用效果[J]. 中国社区医师, 2025, 15(19): 82-84.
[3] 赵甜, 张聪, 武晓翠. PERMA模式下行为干预在早期胃癌患者内镜黏膜下剥离术术后康复中的应用[J]. 国际护理学杂志, 2025, 44(6): 1053-1058.
[4] 郭娜. 临床护理路径在结肠息肉行消化内镜下黏膜切除术患者护理中的应用效果[J]. 中国社区医师, 2023, 39(36): 133-135.
[5] 张荣华, 林燕, 戴芸. 手术室零缺陷护理模式在行内镜下黏膜切除术患者中的应用[J]. 中外医学研究, 2025, 23(12): 86-89.
[6] 刘梦怡. 综合性护理干预对胃息肉行内镜下黏膜切除术患者遵医行为, 生活质量的影响[J]. 现代诊断与治疗, 2023, 34(11): 1718-1720.
[7] 张露, 卞冬雪, 季忆. 情志护理结合CICARE沟通模式对内镜下结肠黏膜切除术后患者的影响[J]. 齐鲁护理杂志, 2024, 30(2): 32-35.
[8] 谷文静, 李娜. 综合护理对内镜下黏膜切除术治疗结肠息肉患者手术不良事件的影响[J]. 临床医学研究与实践, 2023, 8(8): 148-150.