认知行为干预对颅脑肿瘤患者术后情绪及认知的影响  

Effect of Cognitive Behavioral Intervention on the Postoperative Emotion and Cognition in Patients with Brain Tumor

作　　者：陈灿中[1] 王灿明[1] 张青[1] 

机构地区：[1]大理学院附属医院,大理671000

出　　处：《基因组学与应用生物学》2017年第7期2759-2763,共5页Genomics and Applied Biology

摘　　要：为了揭示认知行为干预对颅脑肿瘤患者术后情绪及认知的影响,选取大理学院附属医院2014年5月至2016年5月收治的颅脑肿瘤患者80例,依据随机数字表法将这些患者分为常规护理干预组(n=40)和认知行为干预组(n=40)两组,对两组患者的焦虑抑郁情绪、疼痛感、应激性溃疡发生情况、依从性及护理满意度进行统计分析。分析显示,认知行为干预组患者的焦虑评分和抑郁评分均显著低于常规护理干预组(p<0.05);认知行为干预组患者的VAS评分和应激性溃疡发生率(10.0%)也显著低于常规护理干预组22.5%(9/40)(p<0.05);认知行为干预组患者的依从性、护理满意度均显著高于常规护理干预组(p<0.05)。本研究表明,颅脑肿瘤术后患者深受焦虑抑郁情绪影响,认知行为干预较常规护理干预在患者焦虑抑郁情绪、疼痛感、应激性溃疡发生情况、依从性及护理满意度等方面具有更好的护理效果。In order to reveal the effect of cognitive behavioral intervention on the postoperative emotion and cog- nition in patients with brain tumor, 80 cases of patients with brain cancer treated in Affiliated Hospital of Dali Uni- versity from May, 2014 to May, 2016 were selected. According to the random number table, these patients were divided into two groups, which were usual care intervention group （n=40） and cognitive behavioral intervention group （n=40）. The anxiety and depression, pain, stress ulcer cases, compliance and nursing satisfaction of the two groups were statistically analyzed. The study showed that the anxiety score and depression score of cognitive be- havioral intervention group were significantly lower than those of the usual care intervention group （p 〈0.05）; the VAS score and the incidence rate of stress ulcer （10.0%） of cognitive behavioral intervention group were significantly lower than those of the usual care intervention group （the incidence rate of stress ulcer was 22.5%） （p〈0.05）; the com- pliance and nursing satisfaction of cognitive behavioral intervention group were significantly higher than those of the usual care intervention group （p〈0.05）. This study indicated that brain tumor patients were deeply suffered from severe anxiety and depression. Cognitive behavioral intervention had better nursing effect than usual care in- tervention in terms of the anxiety and depression, pain, stress ulcer cases, comnliance and nursin~ satisfaction.

关 键 词：颅脑肿瘤 术后患者焦虑抑郁现状 认知行为干预 效果 

分 类 号：R473.73[医药卫生—护理学]