Application of language intervention in the regulation of psychological stress during endoscopic retrograde cholangiopancreatography examination

Abstract

Objective To investigate the application effect of language intervention in the regulation of psychological stress of patients during endoscopic retrograde cholangiopancreatography (ERCP) examination. Methods A total of 70 ERCP patients in Yiwu Central Hospital from April 2013 to May 2017 were included in the study using simple stratified sampling method. A number of 35 cases from April 2013 to April 2015 were recruited as the control group and received routine health education. Another 35 cases from May 2015 to May 2017 were included in the observation group who received additional language intervention. The heart rate, blood pressure, Self-Rating Anxiety Scale (SAS) score, Self-Rating Depression Scale (SDS) score, blood glucose and cortisol levels of patients at different time points were compared between two groups. Results The time factor and between group factor of heart rate, blood pressure, blood glucose and cortisol levels of patients had interaction effect (P<0.05) . The scores of SAS and SDS in the observation group were lower than the scores before the examination, and the differences were statistically significant (P<0.05) . After the examination, there were statistically significant differences in the SAS and SDS scores between two groups (P<0.05) . Conclusions The application of language intervention during the ERCP examination can significantly improve the psychological stress state of patients and the safety of ERCP. Key words: Anxiety; Depression; Blood pressure; Blood glucose; Cortisol; Language intervention; Endoscopic retrograde cholangiopancreatography