基于贝克认知疗法理论的“5E”康复干预在下肢严重毁损伤患者中的应用研究  

The effect of“5E”rehabilitation under Beck's cognitive therapy theory on severe lower extremity destruction injury patient

作　　者：王娅倩 赵菁 颜红 应小曼 WANG Yaqian;ZHAO Jing;YAN Hong;YING Xiaoman(Department of Hand Trauma,Taizhou Orthopedics Hospital,Wenling 317500,China;Department of Obstetrics and Gynecology,Taizhou Hospital of Zhejiang Province,Linhai 317013,China)

机构地区：[1]台州骨伤医院手创伤科,温岭市317500 [2]浙江省台州医院妇产科,临海市317013

出　　处：《护理管理杂志》2022年第10期749-753,共5页Journal of Nursing Administration

摘　　要：目的探讨基于贝克认知疗法理论的“5E”康复干预对下肢严重毁损伤患者的影响。方法选取2018年1月至2020年2月94例下肢严重毁损伤患者,分为两组,各47例。术后对照组给予常规康复管理,观察组在此基础上实施基于贝克认知疗法理论的“5E”康复干预。比较两组康复情况、不同时间点心理状态、创伤后成长、肢体功能、日常生活能力。结果观察组患者肉芽组织形成时间、水肿消失时间及出院时间均短于对照组(P<0.05);出院时、出院后6个月观察组焦虑、抑郁得分低于对照组(P<0.05);出院时、出院后6个月观察组创伤后成长得分高于对照组(P<0.05);出院后6个月观察组肢体功能得分低于对照组(P<0.05);出院后6个月观察组日常生活能力高于对照组(P<0.05)。结论在下肢严重毁损伤患者术后康复中,基于贝克认知疗法理论的“5E”康复干预有助于加速患者康复进程,纠正不良心理状态,减轻焦虑、抑郁情绪,提升创伤后成长水平,改善肢体功能,逐步恢复日常生活能力。Objective To explore the effect of"5E"rehabilitation intervention under Beck's cognitive therapy theory on patients with severe lower extremity disfigurement injury.Methods A total of 94 patients with severe lower limb destruction injuries from January 2018 to February 2020 were selected and divided into two groups,with 47 cases each.The control group was given conventional rehabilitation management after surgery,and the observation group was given"5E"rehabilitation intervention based on Beck's cognitive therapy theory on the basis.The two groups were compared in terms of rehabilitation,psychological status at different time points,post-traumatic growth,limb function and daily living ability.Results The formation time of granulation tissue,the disappearance time of edema,and the discharge time of the observation group were shorter than those of the control group(P<0.05).The Hospital Anxiety and Depression Scale(HAD)scores of the anxiety and depression subscales in the observation group at discharge and 6 months after discharge were lower than those in the control group(P<0.05).The Posttraumatic Growth Inventory(PTGI)score in the observation group at discharge and 6 months after discharge were higher than that of the control group(P<0.05).The score of limb function of the observation group at 6 months after discharge were lower than that of the control group(P<0.05).The ability of daily living at 6 months after discharge in the observation group was higher than that of the control group(P<0.05).Conclusion In the rehabilitation management of patients with severely damaged lower extremities,the"5E"rehabilitation strategy based on Baker's cognitive therapy theory can help accelerate the rehabilitation process of patients.It can correct negative mental states,and reduce anxiety and depression,improve the level of post-traumatic growth,improve limb function and restore the ability of daily living day by day.

关 键 词：贝克认知疗法 下肢严重毁损伤 显微外科保肢术 心理状态 肢体功能 

分 类 号：R473.6[医药卫生—护理学]