认知行为干预对功能性大便失禁患者焦虑和抑郁状态的影响  

Effects of cognitive behavioral intervention on anxiety and depression in patients with functional fecal incontinence

作　　者：曾桂红[1] 黄锦华[1] 吴燕燕[2] ZENG Guihong;HUANG Jinhua;WU Yanyan(Pelvic Floor Medical Center,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350004,China;Second Department of Anorectal Medicine,People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350004,China)

机构地区：[1]福建中医药大学附属人民医院盆底医学中心,福建福州350004 [2]福建中医药大学附属人民医院肛肠二科,福建福州350004

出　　处：《现代医药卫生》2024年第13期2242-2244,2248,共4页Journal of Modern Medicine & Health

基　　金：福建中医药大学校管课题整合盆底医学中心开放课题资助(2020001-平台)。

摘　　要：目的探讨认知行为干预替代常规护理方法对功能性大便失禁患者焦虑及抑郁情绪心理状态的影响。方法将该院2021年6月至2022年6月收治的40例功能性大便失禁患者按随机数字表法分为对照组和观察组,每组20例。2组患者均给予常规治疗(盆底肌训练+触发电刺激训练),对照组患者予以常规护理,观察组患者予以认知行为干预,观察4周。比较2组患者干预前后临床疗效、Wexner克利夫兰肛门失禁评分、焦虑自评量表、抑郁自评量表。结果观察组总有效率[90.0%(18/20)]高于对照组[75.0%(15/20)],差异有统计学意义(χ^(2)=3.491,P<0.05)。干预后2组患者Wexner克利夫兰肛门失禁评分、焦虑自评量表评分、抑郁自评量表评分均较干预前降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论通过认知行为干预可以明显缓解功能性大便失禁患者的焦虑和抑郁状态,从而增强治疗效果,对患者的恢复也有积极影响。Objective To explore the effect of cognitive behavioral intervention instead of conventional nursing on anxiety and depression in patients with functional fecal incontinence.Methods A total of 40 patients with functional fecal incontinence in the hospital from June 2021 to June 2022 were divided into the control group and the observation group according to the random number method,with 20 cases in each group.Both groups were given routine treatment(pelvic floor muscle training+trigger electrical stimulation training),while the patients in the control group were given routine nursing,while the patients in the observation group were given cognitive behavioral intervention,and the observation was carried out for four weeks.The clinical efficacy,Wexner Cleveland anal incontinence scale,self-rating anxiety scale and self-rating depression scale were compared between the two groups before and after intervention.Results The total effective rate of the observation group [90.0%(18/20)] was higher than that of the control group [75.0%(15/20)],with statistical significance(χ^(2)=3.491,P<0.05).After the intervention,the scores of Wexner Cleveland anal incontinence scale,self-rating anxiety scale and self-rating depression scale in the observation group and the control group were all lower than those before the intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Through cognitive behavior intervention,the anxiety and depression of patients with fecal incontinence can be significantly alleviated,thus enhancing the therapeutic effect and having a positive impact on the recovery of patients.

关 键 词：大便失禁 认知行为干预 焦虑 抑郁 

分 类 号：R47[医药卫生—护理学]