叙事心理护理联合线上团体认知行为治疗在椎管内肿瘤切除术患者中的应用  

Application of narrative psychological nursing combined with online group cognitive behavioral therapy in patients with intraspinal tumor resection

作　　者：王洋 郑玉 崔丽平 Wang Yang;Zheng Yu;Cui Liping(Department of Neurosurgery,Panjin Central Hospital,Liaoning Province,Panjin 124010,China)

机构地区：[1]辽宁省盘锦市中心医院神经外科,124010

出　　处：《中华现代护理杂志》2021年第36期5008-5012,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨叙事心理护理联合线上团体认知行为治疗在椎管内肿瘤切除术患者中的应用效果。方法选取2018年1月—2019年12月在辽宁省盘锦市中心医院就诊的70例椎管内肿瘤切除术患者,根据入院时间分为对照组和干预组,各35例。对照组采用常规护理,干预组在此基础上实施叙事心理护理联合线上团体认知行为治疗。比较干预前后两组患者的疾病认知、焦虑抑郁、自我感受负担、疾病复发率和生活质量。结果实施叙事心理护理联合线上团体认知行为治疗后,干预组患者在疾病认知方面的得分高于对照组(P<0.05);干预组患者干预后的SAS、SDS评分低于对照组(P<0.05);干预组患者干预后的身体负担、情感负担低于对照组(P<0.05),而两组经济负担评分比较差异无统计学意义(P>0.05);干预组干预后在生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能和精神健康方面的评分高于对照组(P<0.05);干预组患者的疾病复发率低于对照组(2.9%vs.20.0%,P<0.05)。结论叙事心理护理联合线上团体认知行为治疗应用于椎管内肿瘤切除术患者中可提高患者的疾病认知,降低焦虑抑郁、自我感受负担和疾病复发率,改善患者生活质量。Objective To explore the effect of narrative psychological nursing combined with online group cognitive behavioral therapy in patients with intraspinal tumor resection.Methods A total of 70 patients with intraspinal tumor resection in Panjin Central Hospital of Liaoning Province were selected from January 2018 to December 2019.They were divided into the control group and the intervention group according to admission time,with 35 patients in each group.The control group received conventional nursing,while the intervention group received narrative psychological nursing combined with online group cognitive behavioral therapy.Disease cognition,anxiety and depression,self-perceived burden,recurrence rate of disease and quality of life were compared between the two groups before and after intervention.Results After the implementation of narrative psychological nursing combined with online group cognitive behavioral therapy,the score of disease cognition in the intervention group was higher than that in the control group(P<0.05).After intervention,SAS and SDS scores in intervention group were lower than those in control group(P<0.05).After intervention,the physical burden and emotional burden of patients in the intervention group were lower than those in the control group(P<0.05),but there was no statistical significance in the economic burden score between the two groups(P>0.05).After intervention,the scores of physical function,physical function,physical pain,general health,vitality,social function,emotional function and mental health in the intervention group were higher than those in the control group(P<0.05).The recurrence rate of disease in the intervention group was lower than that in the control group(2.9%vs.20.0%,P<0.05).Conclusions The application of narrative psychological nursing combined with online group cognitive behavioral therapy in patients with intraspinal tumor resection can improve their disease cognition,reduce anxiety and depression,self-perceived burden and disease recurrence rate and improve the

关 键 词：焦虑 抑郁 生活质量 自我感受负担 椎管内肿瘤切除术 叙事护理 团体认知行为治疗 线上干预 

分 类 号：R473.73[医药卫生—护理学]