积极心理学理论联合认知行为干预在急性鼻出血患者中的应用  

Application of Positive Psychology Theory and Cognitive Behavioral Intervention in Patients with Acute Nosebleed

作　　者：朱皖明 ZHU Wanming(The First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)

机构地区：[1]蚌埠医科大学第一附属医院,安徽蚌埠233000

出　　处：《中外医学研究》2024年第26期86-89,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨急性鼻出血患者给予积极心理学理论联合认知行为干预的应用效果。方法:选取2022年7月—2023年6月蚌埠医科大学第一附属医院收治的急性鼻出血患者66例,以随机数表法分为干预组(n=33)和对照组(n=33)。对照组给予常规干预,干预组给予积极心理学理论联合认知行为干预。比较两组围手术期指标、负性情绪、应对方式及并发症。结果:干预组出血量少于对照组,出血停止时间早于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。出院时,两组医院焦虑量表(HADS-A)评分、医院抑郁量表(HADS-D)评分较入院时下降,干预组低于对照组,差异有统计学意义(P<0.05)。出院时,两组积极应对评分较入院时升高,消极应对评分下降,干预组积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05)。干预组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:急性鼻出血患者给予积极心理学理论联合认知行为干预,能够改善围手术期指标,减轻负性情绪,促使患者选择积极应对方式,降低并发症发生率。Objective:To explore the application effect of positive psychological theory and cognitive behavioral intervention on patients with acute nosebleeds.Method:A total of 66 patients with acute nosebleeds who were admitted in the First Affiliated Hospital of Bengbu Medical University from July 2022 to June 2023 were selected,and they were randomly divided into the intervention group(n=33)and the control group(n=33).The control group received routine intervention,the intervention group received positive psychological theory and cognitive behavioral intervention.The perioperation indicators,negative emotions,coping strategies,and complications in both groups were compared.Result:The amount of blood loss in the intervention group was less than that in the control group,the stopping time of bleeding was earlier than that in the control group,and the length of hospitalization was shorter than that in the control group,the differences were statistically significant(P<0.05).At discharge,the hospital anxiety scale(HDS-A)score,hospital depression scale(HDS-D)score of the two groups were lower than that at admission,and the scores in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).At discharge,the positive coping score of the two groups was higher than that of the admission,while the negative coping score was decreased,the positive coping score of the intervention group was higher than that of the control group,and the negative coping score was lower than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Positive psychological theory and cognitive behavioral intervention can improve clinical indicators,alleviate negative emotions,encourage patients to choose positive coping strategies,and reduce the incidence of complications in patients with acute nosebleeds.

关 键 词：急性鼻出血 积极心理学理论 认知行为干预 负性情绪 应对方式 

分 类 号：R473.76[医药卫生—护理学]