认知行为干预在肘管综合征患者中的应用  

Application of cognitive behavior intervention in patients with cubital tunnel syndrome

作　　者：殷宝月 宋银玲[1] 杨洋[1] 徐昕[1] 潘黎明[1] Yin Baoyue;Song Yinling;Yang Yang;Xu Xin;Pan Liming(Department of Hand and Foot Surgery,the First Hospital of Jilin University,Changchun 130000,China)

机构地区：[1]吉林大学第一医院手足外科,长春130000

出　　处：《中华现代护理杂志》2021年第36期4964-4969,共6页Chinese Journal of Modern Nursing

基　　金：吉林省科技发展计划项目(20200404206YY)。

摘　　要：目的探讨认知行为干预对肘管综合征患者自我感受负担和应对方式的影响,为肘管综合征患者的心理护理提供理论依据和实践指导。方法采用便利抽样法,选取2018年7月—2019年8月吉林大学第一医院手足外科收治的84例肘管综合征患者为研究对象,按照随机数字表法分为干预组(43例)和对照组(41例)。对照组给予常规护理,干预组在对照组的基础上进行认知行为干预。采用一般情况和损伤特征调查表、自我感受负担量表(SPBS)和医学应对方式问卷(MCMQ)比较两组患者干预前后自我感受负担和医学应对方式。结果最终干预组共42例患者、对照组共40例患者完成研究。两组患者干预前SPBS、MCMQ得分比较,差异无统计学意义(P>0.05)。干预组患者干预后SPBS总分及各维度得分低于对照组,差异有统计学意义(P<0.05)。干预后,干预组患者MCMQ的面对方式维度得分高于对照组,屈服方式维度得分低于对照组,差异有统计学意义(P<0.05);干预后,两组患者的回避方式维度得分比较,差异无统计学意义(P>0.05)。结论认知行为干预可以有效降低患者的自我感受负担水平,使患者在治疗过程中采取积极的应对方式,有助于疾病的恢复。Objective To explore the influence of cognitive behavioral intervention on self-perceived burden and coping style of patients with cubital tunnel syndrome(CuTS),so as to provide theoretical basis and practical guidance for the psychological care of patients with cubital tunnel syndrome.Methods Using the convenient sampling method,a total of 84 patients with cubital tunnel syndrome who were admitted to the Department of Hand and Foot Surgery of the First Hospital of Jilin University from July 2018 to August 2019 were selected as the research objects.According to the random number table method,they were divided into the intervention group(43 cases)and the control group(41 cases).The control group was given routine nursing care,while the intervention group was given cognitive behavioral intervention on the basis of the control group.The general situation and injury characteristics questionnaire,Self-Perceived Burden Scale(SPBS)and Medical Coping Modes Questionnaire(MCMQ)were used to compare self-perceived burden and medical response methods of patients in the two groups before and after the intervention.Results In the end,42 patients in the intervention group and 40 patients in the control group completed the study.Before the intervention,there was no statistically significant difference in scores of SPBS and MCMQ of patients between the two groups(P>0.05).After the intervention,the total score of SPBS and the scores of all dimensions of the intervention group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the score of MCMQ face style dimension of the intervention group was higher than that of the control group,the score of yielding method dimension was lower than that of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the avoidance style dimension scores between the two groups after the intervention(P>0.05).Conclusions Cognitive behavior intervention can eff

关 键 词：肘管综合征 认知行为干预 自我感受负担 医学应对方式 

分 类 号：R473.6[医药卫生—护理学]