认知行为干预对学龄期骨折患儿围术期心理弹性、负性情绪及术后疼痛的影响  

Effects of cognitive behavioral intervention on perioperative psychological flexibility,negative emotions and postoperative pain in school-aged children with fracture

作　　者：冯彩英[1] 武慧玲[1] 贾锰 徐双双 FENG Caiying;WU Huiling;JIA Meng(The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院,郑州450052

出　　处：《国际精神病学杂志》2020年第4期822-825,共4页Journal Of International Psychiatry

摘　　要：目的分析学龄期骨折患儿围术期应用认知行为方案干预后效果。方法将我院85例学龄期骨折患儿采用随机数字表法分组,对照组42例给予围术期常规干预模式,观察组43例在常规干预基础上增加认知行为干预模式,对比两组患儿干预后心理弹性、治疗依从性、负性情绪及疼痛变化。结果干预后,观察组心理弹性量表(CD-RISC)评分、锻炼依从率高于对照组,儿童焦虑性障碍量表(SCARED)评分、儿童抑郁障碍量表(DSRSC)评分、儿童术后疼痛量表(FLACC)评分低于对照组,差异有统计学意义(P<0.05)。结论认知行为干预能够有效减轻学龄期骨折患儿术后疼痛,提升患儿心理弹性及康复依从性,缓解负面情绪。Objective To analyze the effect of perioperative intervention of cognitive behavioral program on school-aged children with fractures. Methods Eighty-five school-aged children with fractures in our hospital were grouped by random number table method. The control group was given perioperative routine intervention mode including 42 cases while the observation group was given cognitive behavior intervention mode on the basis of routine including 43 cases. The changes of treatment compliance,negative emotions and pain were compared between the two groups. Results The CD-RISC score and exercise compliance rate of the observation group were higher than those of the control group after intervention,and the SCARED,DSRSC,and FLACC scores were lower than those of the control group. Conclusion Cognitive behavioral intervention can effectively reduce postoperative pain in school-aged children with fractures,improve their psychological flexibility and rehabilitation compliance,and ease negative emotions.

关 键 词：认知行为 学龄期 骨折 围术期 心理弹性 负性情绪 疼痛 

分 类 号：R749[医药卫生—神经病学与精神病学]