认知行为干预护理对减轻脊柱手术患者焦虑、疼痛效果的研究  

Effect of Cognitive Behavior Intervention Nursing on Anxiety and Pain in Patients with Spinal Surgery

作　　者：李璟[1] 饶巧莹 尹志勤[1] 

机构地区：[1]温州医科大学附属第五医院丽水市中心医院,丽水323001

出　　处：《数理医药学杂志》2017年第1期14-17,共4页Journal of Mathematical Medicine

基　　金：课题名称:基于脊柱稳定性的kummell病临床分型探讨及其微创治疗策略优化(2016C33245)

摘　　要：目的:探讨认知行为干预在缓解脊柱手术围术期焦虑和疼痛中的作用。方法:选择某院2014年4月~2016年3月收治的脊柱手术住院期间患者132例,按随机数字表法将纳入病例分为观察组和对照组,每组66例。对照组接受常规的脊柱外科护理,观察组在此基础上增加认知行为干预,从认知重建、行为干预和连带关系干预3个角度展开。所有患者分别在术前和术后2d接受焦虑自评量表评估,并在术后3、6d进行VAS视觉疼痛评分和测定血清肾上腺素(E)、去甲肾上腺素(NE)水平,对结果进行统计学分析。结果:两组患者干预前的焦虑状态评分不具有统计学差异(P>0.05);观察组患者术后焦虑状态评分明显要低于对照组患者(P<0.05),观察组患者术后3d、术后6d焦虑状态评分均明显要低于对照组患者(P<0.05),观察组患者血清E、血清NE水平也明显低于对照组(P<0.05)。结论:认知行为干预模式对脊柱围术期患者是一种有效的减轻焦虑与疼痛程度的治疗方式。Objective： To explore the effect of cognitive behavior intervention nursing on preoperative anxiety and pain in patients with spinal surgery.Methods： 132 cases of patients with spinal surgery in a hospital from April 2014 to March 2016 were selected and divided into observation group and control group according to the random number table method, with 66 cases in each group.The control group received routine spinal surgery care, and the observation group patients were given cognitive behavior intervention including cognitive restructuring,behavior intervention and interrelation intervention on the basis of control group.All patients were assessed by self rating Anxiety Scale 2 days before and after Operation respectively, as well as per- formed VAS visual pain score, determined the levels of epinephrine and norepinephrine in serum at 3rd and 6th day after operation relatively, and the data were statistically analyzed.Results. The anxiety score of two groups assessed before the intervention showed no statistically significant difference （P〉0.05）.Whereas the anxiety score of observation group was significantly lower than that of control group （P〈0.05） at 3rd and 6th day after operation.The levels of epinephrine and norepinephrine in serum of observation group were sig- nificantly lower than those of control group （P 〈0.05）.Conclusion.The cognitive behavior intervention model is an effective way to reduce anxiety and pain in patients in spinal preoperative period.

关 键 词：脊柱手术 认知行为干预 焦虑 疼痛 

分 类 号：R473[医药卫生—护理学]