认知行为疗法在脊髓损伤术后患者中的应用价值  

Application value of cognitive behavioral therapy in postoperative patients with spinal cord injury

作　　者：曾雪琴 孙银娣[1] 相洁[1] 李欢[1] 董博[1] 朱毅[1] 董璐 ZENG Xueqin;SUN Yindi;XIANG Jie;LI Huan;DONG Bo;ZHU Yi;DONG Lu(TCM Orthopaedic Pain Ward of Rehabilitation Hospital,Hong Hui Hospital Affiliated to Xi'an Jiaotong University,Xi'an 710054,China)

机构地区：[1]西安交通大学附属红会医院康复医院中医骨科疼痛病区,陕西西安710054

出　　处：《临床医学研究与实践》2021年第24期154-156,共3页Clinical Research and Practice

基　　金：陕西省科学技术厅自然科学基础研究计划项目(No.2017JM8010)。

摘　　要：目的探讨认知行为疗法(CBT)在脊髓损伤(SCI)术后患者中的应用价值。方法采用随机数字表法将78例SCI术后患者分为对照组和干预组,各39例。对照组实施临床传统干预,干预组在对照组基础上实施CBT。比较两组的干预效果。结果干预后,两组的SAS、SDS、FIM、MUIS-A评分、营养因子水平均改善,且干预组优于对照组(P<0.05);干预组的满意度明显高于对照组(P<0.05)。结论临床传统干预联合CBT能够有效缓解SCI术后患者的不良情绪及对疾病的不确定感,改善其认知及运动功能,提高满意度和营养因子水平。Objective To explore the application value of cognitive behavioral therapy(CBT)in postoperative patients with spinal cord injury(SCI).Methods A total of 78 postoperative patients with SCI were divided into control group and intervention group using random number table method,with 39 cases in each group.The control group was given clinical traditional intervention,and the intervention group was given CBT on the basis of the control group.The intervention effects of the two groups were compared.Results after intervention,the SAS,SDS,FIM and MUIS-A scores and nutritional factor levels of the two groups improved,and those of the intervention group were better than the control group(P<0.05);the satisfaction of the intervention group was significantly higher than that of the control group(P<0.05).Conclusion Clinical traditional intervention combined with CBT can effectively relieve the bad mood and uncertainty of the disease of patients after SCI,improve their cognitive and motor function,and improve satisfaction and nutritional factor levels.

关 键 词：脊髓损伤 认知行为疗法 认知功能 运动功能 

分 类 号：R473[医药卫生—护理学]