认知行为疗法对妇科腔镜手术患者术前焦虑的影响分析  

Analysis of Cognitive Behavior Therapy in Reducing the Preoperative Anxiety of Patients with Gynecological Operation by Laparoscope

作　　者：李亚妹[1] 吴穗燕[1] 

机构地区：[1]中山大学附属第三医院手术室,广东广州510630

出　　处：《临床医学工程》2013年第9期1159-1160,共2页Clinical Medicine & Engineering

摘　　要：目的探讨认知行为疗法对妇科腔镜手术患者术前焦虑的影响。方法将我院妇科择期行腔镜手术的患者200例,随机分为实验组和对照组,每组100例。对照组按妇科常规护理进行,实验组除接受术前常规护理外,还运用认知行为疗法(cognitive therapy)对患者进行提前干预,比较两组患者进入手术室后血压和心率的变化、焦虑的程度和护理的满意度等。结果与对照组相比,实验组患者入手术室后血压和心率的变化明显降低(P<0.05),术前焦虑程度也有所减轻(P<0.05,Zung焦虑自评量表SAS测量),患者的护理满意度则明显上升(P<0.05)。结论认知行为疗法可减轻妇科腔镜手术患者的术前焦虑程度,有利于手术的顺利进行。Objective To explore the influence of cognitive behavior therapy on the preoperative anxiety of patients with gynecological operation by laparoscope.Methods 200 patients with selective gynecological operation by laparoscope were randomly divided into two groups,with 100 cases in each group.Patients in the control group received the routine nursing,while patients in the experimental group received the extra cognitive behavior therapy.The changes of blood pressure and heart rate after entering the operating room,the anxiety degree,and the satisfaction degree to nursing of two groups were compared.Results Compared with the control group,the experimental group had significant decrease in blood pressure and heart rate,decreased anxiety degree,and increased satisfaction degree to nursing（all P 0.05）.Conclusions Cognitive behavior therapy can reduce preoperative anxiety of patients with gynecological operation by laparoscope,which is conducive to the smooth operation.

关 键 词：认知行为疗法 妇科腔镜手术 术前焦虑 

分 类 号：R473.71[医药卫生—护理学]