认知行为疗法改善颅内动脉瘤夹闭术患者术前焦虑抑郁效果的研究  

Cognitive behavior therapy treated preoperative anxiety and depression for patients with aneurysm clipping

作　　者：熊英[1] 孟伟[1] 

机构地区：[1]首都医科大学附属北京天坛医院手术室,100050

出　　处：《中华现代护理杂志》2015年第18期2135-2138,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨认知行为疗法对颅内动脉瘤夹闭术患者术前焦虑、抑郁的影响。方法选取2014年3—10月择期行颅内动脉瘤夹闭术手术患者80例，采用随机数字法随机分为干预组和对照组，每组各40例。对照组只接受常规护理和健康指导，干预组在此基础上由专科护士运用认知行为疗法对患者进行系统的心理干预，比较两组患者入手术室前后的平均动脉压和心率，应用焦虑自评量表（ SAS）和抑郁自评量表（SDS）评价干预前后患者焦虑及抑郁水平。结果与对照组相比，采用认知行为疗法后，干预组患者术日 SAS 评分[（52.12±3.46）分]和 SDS 评分[（31.25±2.82）分]均明显降低，差异有统计学意义（t 值分别为2.98，3.14；P ＜0.05）；干预组入手术室后平均动脉压[（88.5±2.8）mmHg]和心率[（87.5±3.7）次/ min]亦优于对照组，差异有统计学意义（t 值分别为3.74，3.23；P ＜0.05）。结论认知行为疗法可有效降低颅内动脉瘤夹闭术患者手术应激反应强度，减缓患者躯体性及精神性焦虑抑郁症状。Objective To investigate the effects of cognitive behavior therapy on anxiety and depression for patients with aneurysm clipping. Methods A total of 80 patients with aneurysm clipping were chosen and averagely divided into intervention group with cognitive behavior therapy based on control group and control group taking routine nursing and health education by random number table. The mean arterial blood pressure （MAP）and heart rate（HR）were compared and documented the level of anxiety and depression by SAS and SDS. Results Compared with the control group,after the interventions the SAS[（52. 12 ± 3. 46）]and SDS [（31. 25 ± 2. 82）]score were dramatically decreased in the intervention group（t = 2. 98,3. 14;P 〈0. 05）;and the MAP[（88. 5 ± 2. 8）mmHg]and HR[（87. 5 ± 3. 7）beats/ min]in the intervention group were better than these of the control group as well（t = 3. 74,3. 23;P 〈0. 05）. Conclusions Cognitive behavior therapy can reduce the intensity of stress reaction and alleviate anxiety and depression emotions in the patients with aneurysm clipping.

关 键 词：认知疗法 颅内动脉瘤 焦虑 抑郁 

分 类 号：R473.6[医药卫生—护理学]