The intervention effect of psychological nursing on the perioperative abnormal psychology patients treated with endoscopic retrograde cholangiopancreatography

Objective:To explore the psychological characteristics of the perioperative patients treated with endoscopic retrograde cholangiopancreatography(ERCP),evaluate the intervention effects of psychological nursing on the ERCP patients for providing scientific basis in formulating psychological nursing program.Methods:Fifty-eight patients treated with ERCP were randomly divided into the intervention group(30 cases) and control group(28 cases),and 24 healthy people were set as the healthy control group.The intervention group and control group were evaluated using the Hospital Anxiety and Depression Scale(HAD) and Pittsburgh Sleep quality index scale(PSQI) before and after operation,the bed time and hospital stay after ERCP between the intervention group and control group were compared.The psychological status of healthy control group were evaluated.Results:The preoperative anxiety and depression scores in intervention group and control group were higher than those in healthy control group(P<0.05 and P<0.01).Among the preoperative PSQI scores,the differences of the scores of hypnotic drugs and daytime dysfunction between the intervention group and control group were not statistically significant(P>0.05),and other item scores in intervention group and control group were higher than those in healthy control group(P<0.05 to P<0.01).The differences of the preoperative scores of HAD and PSQI between the intervention group and control group were not statistically significant(P>0.05).The postoperative anxiety and depression scores in intervention group were lower than those in control group(P<0.05 and P<0.01).Except the scores difference of hypnotic drugs and daytime dysfunction,other item scores differences of PSQI scores between the intervention group and control group were statistically significant(P<0.05 to P<0.01).The postoperative bed time and hospital stay in intervention group were shorter than those in control group(P<0.05).Conclusions:The anxiety,depression and sleep disturbance are the main perioperative manifestations.Psychological nursing can significantly improve the psychological stress,reduce bed time and hospitalization time of patients.