Maguire Deirdre, Walsh J C, Little C L
Department of Psychology, National University of Ireland, Galway, Ireland.
Patient Educ Couns. 2004 Jul;54(1):61-5. doi: 10.1016/S0738-3991(03)00195-2.
This study was designed to examine the effects of preparatory information and behavioural training on patients about to undergo an endoscopy procedure. Forty-five first-time endoscopy patients (aged 20-70 years), were randomly assigned to one of three groups (cognitive, cognitive/behavioural and control group). The cognitive group received a 12 min preparation with sensory and procedural information relating to the sensations and sequence of events associated with the endoscopy procedure. The cognitive/behavioural group received, in addition, instruction in deep breathing exercises, tongue depressor task and swallowing technique. Results indicated that patients in the two experimental conditions experienced significantly fewer signs of behavioural distress during endoscopy. The cognitive group required a significantly shorter time to induce the scope. There were no statistical differences between the groups however, for mood, physiological and anxiety measures, although a positive trend was evident for the two intervention groups.
本研究旨在探讨术前信息和行为训练对即将接受内镜检查的患者的影响。45名首次接受内镜检查的患者（年龄在20至70岁之间）被随机分为三组（认知组、认知/行为组和对照组）。认知组接受了12分钟的准备，内容包括与内镜检查相关的感觉和事件顺序的感觉及操作信息。认知/行为组除了上述内容外，还接受了深呼吸练习、压舌板任务和吞咽技巧的指导。结果表明，处于两种实验条件下的患者在内镜检查期间出现行为困扰的迹象明显较少。认知组插入内镜所需的时间明显更短。然而，在情绪、生理和焦虑测量方面，各组之间没有统计学差异，尽管两个干预组有明显的积极趋势。
