CAJ | 학술논문

目的探讨综合性心理干预对促进腹部手术后胃瘫综合征(PGS)患者恢复的效果.方法将70例腹部手术后发生胃瘫综合征的患者按单双序号随机分为实验组和对照组各35例.对照组采用传统的常规治疗:留置三腔胃管、禁食、胃肠外营养+肠内营养(PN+EN),以及常规护理、健康指导等.实验组在对照组实施措施的基础上辅以综合性心理干预.采用抑郁量表(center for epidemiological survey depression scale,CES-D)对2组干预前、干预后不同时间进行测评,并进行胃肠功能恢复的评定.结果实验组患者抑郁程度的改善明显高于对照组,实验组患者症状(恶心、呕吐、腹胀)消失时间、胃管拔出时间、进食恢复时间明显短于对照组；胃液＞ 800 ml/d引流的天数明显缩短；PGS的恢复时间和住院天数明显缩短；住院费用明显减少.结论对腹部手术后胃瘫综合征患者实施综合性心理干预可以改善患者的负性情绪,能缩短患者的恢复时间.
목적 탐토종합성심리간예대촉진복부수술후위탄종합정(PGS)환자회복적효과.방법 장70례복부수술후발생위탄종합정적환자안단쌍서호수궤분위실험조화대조조각35례.대조조채용전통적상규치료:류치삼강위관、금식、위장외영양+장내영양(PN+EN),이급상규호리、건강지도등.실험조재대조조실시조시적기출상보이종합성심리간예.채용억욱량표(center for epidemiological survey depression scale,CES-D)대2조간예전、간예후불동시간진행측평,병진행위장공능회복적평정.결과 실험조환자억욱정도적개선명현고우대조조,실험조환자증상(악심、구토、복창)소실시간、위관발출시간、진식회복시간명현단우대조조；위액＞ 800 ml/d인류적천수명현축단；PGS적회복시간화주원천수명현축단；주원비용명현감소.결론 대복부수술후위탄종합정환자실시종합성심리간예가이개선환자적부성정서,능축단환자적회복시간.
Objective To study the effect of mental intervention on patients with postsurgical gastroparesis syndrome (PGS). Methods 70 patients with gastroptroparesis syndrome after abdominal operation were divided into the control group and the experimental group with 35 patients in each group according to chronological order.The patients in the control group accepted routine care,and the experimental group was given mental intervention based on routine care.Center for Epidemiological Survey Depression Scale (CESD) was used to evaluated the emotional state before and after intervention.Besides,the recovery of gastrointestinal function was appraised. Results The improvement level of anxiety in the experimental group was higher than the control group.The extinction time of symptoms,indwelling time of gastric tube,recovery time of food intake were shorter than the control group.Drainage time when gastric juice ＞ 800ml/d was shorter,recovery time of PGS and hospitalization time were shorter,the treatment cost was reduced,compared with the control group. Conclusions Mental intervention can alleviate the negative emotion and shorten the recovery time of patients with postsurgical gastroparesis syndrome.